5.06 - Attachment 06 - Past Performance Survey [3 pages].docx
DOCX document 24 KB Posted
- Attached to
- Z2DA--Replace Windows and Weather Protection Federal contract opportunity
- Solicitation number
- 36C24824R0135
About this file
This document is a Past Performance Survey Sheet that is part of a federal contract opportunity for replacing windows and weather protection at the Lake City VA Medical Center. The survey sheet requires the contractor to provide information on 3-5 past performance projects, including details on the contractor, the contract, the project scope and the contractor's role, as well as information on the project's performance and completion. The related federal contract opportunity is for a procurement to replace windows and weather protection at the Lake City VAMC, issued by the Department of Veterans Affairs Veterans Health Administration, Veterans Integrated Service Network 8.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 5.04 - Attachment 04 - Price Matrix [1 page].xlsx | XLSX spreadsheet | |
| 5.03 - Attachment 03 - Wage Determination [5 Pages].pdf | ||
| 5.08 - Attachment 08 - Experience Modification Rate EMR [1 page].docx | DOCX document | |
| 5.07 - Attachment 07 - Subcontractor Past Performance Consent Form [1 page].docx | DOCX document | |
| 5.02 - Attachment 02 - Specifications [464 Pages].pdf | ||
| 5.01 - Attachment 01 - Drawing [55 Pages].pdf | ||
| 5.05 - Attachment 05 - Past Performance Questionnaire [3 pages].docx | DOCX document | |
| 36C24824R0135.docx | DOCX document |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PAST PERFORMANCE SURVEY SHEET
PROJECT NO. [ ] Page 1 A minimum of three (3) and a maximum of five (5) past performance projects.
a. Contractor Information of awarded contract (Firm Name, Address, Unique Entity Identifier ID, and Cage Code, Phone number (include area code), POC Name, POC email, Company email)
b. Contract and/or Task Order Number and Award Date (mm/dd/yyyy)
c. Project Title/Name and Location
d. Work Performed as: Prime Contractor, Subcontractor, Joint Venture, Other (explain):
e. Percent (%) of project work performed by your company
f. If you work as subcontractor, who was the prime?
(Firm Name, Address, Unique Entity Identifier ID, and Cage Code, Phone number, POC Name, POC email, Company email)
g. Government Agency/Company which awarded contract to offeror, and Contact Information, such Contracting Officer/Procurement Official/COR/Point of Contact/ (Name, Title, Email, Phone Number).
PAST PERFORMANCE SURVEY
| PAST PERFORMANCE SURVEY SHEET | |
| PROJECT NO. [ | ] Page 2 |
h. Description of project’s scope of work and the offeror’s specific roles and responsibilities in the project: Describe work performed in sufficient detail to permit evaluation of project relevancy to this procurement. Detail how work performed is relevant to the effort required by the solicitation? Use continuation sheet for additional information, if necessary.
| PAST PERFORMANCE SURVEY SHEET | |
| PROJECT NO. [ | ] Page 3 |
i. Explanation of why the projects were selected as the same or similar and how the experience obtained on the submitted project is pertinent to the execution of this project.
j. Describe any difficulties and/or obstacles encountered during performance; steps taken toward resolution. Describe unforeseen conditions and how each were resolved
k. Performance Period, including contract start date (mm/dd/yyyy), and original completion date (mm/dd/yyyy), if not completed, projected date (mm/dd/yyyy)
| Contract Start Date: |
| Original Completion Date, if not completed, projected completion date (mm/dd/yyyy) |
l. Actual Completion Date (mm/dd/yyyy), and if not completed, why?
Actual Completion Date:
If not completed, Why?
m. Project is 50% or more complete? YES [ ] No [ ]. If “No” explain percentage of completion, if not 50% completed for any reason, rating may be lower.
n. The Offerors shall indicate if any of the contracts listed were terminated and the type and reasons for the termination.
o. Original Contract Price (Award Amount), Final Contract Price (to include all modifications, if applicable), Explain Differences.
Original Contract Price: Final Contract Price:
Explain Differences:
File details come from the government source that posted it. Updated .