47PG0322R9976 Past Performance Reference Sheet 20220322.pdf
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- Indoor Firing Range Cleaning & Maintenance
- Solicitation number
- 47PG0322R9976
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Text version
U.S. General Services Administration
Public Buildings Service, Region 6
Field Office Acquisition Branch
PAST PERFORMANCE REFERENCE SURVEY
1. CONTRACTOR (COMPANY NAME) 2. REFERENCE NO. OF
3. CONTRACT STATUS AND TYPE
(CIRCLE ONE FOR STATUS & TYPE)
STATUS: CURRENT PREVIOUS
TYPE: GOV’T NON-GOV’T
4. PROJECT NAME AND LOCATION (BUILDING, CITY, STATE)
5. CONTRACT NUMBER (IF FEDERAL LIST CONTRACT NUMBER) 6. CUSTOMER (COMPANY NAME OR GOVERNMENT
AGENCY
7. CONTACT PERSON (NAME, TITLE and EMAIL ADDRESS) 8. CONTACT PHONE NUMBER
9. TYPE OF FACILITY 10. SIZE OF PROJECT (DOLLAR AMOUNT)
11. IS THE PROJECT FOR OR SIMILAR TO FIRING RANGE CLEANING AND
MAINTENANCE?
YES NO
12. IF COMPLETED PROJECT – COMPLETED ON TIME?
YES NO (If No, explain on back)
12A. START DATE 12B. COMPLETION DATE 12C. NUMBER OF DAYS
13. IF CURRENT PROJECT – ON SCHEDULE?
YES NO (If No, explain on back)
13A. START DATE 13B. ESTIMATED
COMPLETION DATE
13C. PERCENT COMPLETED
14. DESCRIPTION OF PROJECT AND COMPLEXITY.
15. LIST WHICH ELEMENTS OF THE PROJECT WERE SUBCONTRACTED.
16. PROBLEMS ENCOUNTERED AND CORRECTIVE ACTIONS TAKEN.
17. ANY RE-OCCURING DEFICIENCIES AND/OR FOLLOW-UP COMPLAINT CALLS?
18. WAS THE VENDOR RESPONSIVE?
SIGNATURE OF EVALUATOR: DATE:
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