5. Past Performance Questionnaire.pdf
PDF 756 KB Posted
- Attached to
- Mt. Pinos Snowplay Portable Toilet Rentals, LPF
- Solicitation number
- 127EAT26Q0008
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a Past Performance Questionnaire for a USDA Forest Service solicitation (Solicitation Number 127EAT26Q0008) for Los Padres National Forest Snowplay Portable Toilet Rental Services. The form is designed for potential contractors to provide details about their business and past performance, including years of experience, business type, and project history. The questionnaire requires the prospective contractor to list projects completed in the last three years, provide contact information, disclose any previous contract completion failures, and certify the accuracy of the submitted information. The solicitation is being submitted to the USDA Forest Service, specifically to Erin Scott-James, Contract Specialist, via email.
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Other files
| File | Type | Posted |
|---|---|---|
| 3. Schedule of Items .xlsx | XLSX spreadsheet | |
| 1. Statement of Work Snowplay Toilets.pdf | ||
| 4. WD 2015 5626. Rev 25. 03Dec25 Ventura.pdf | ||
| RFQ Mt Pinos Snowplay Portable Toilet Rentals 127EAT26Q0008_LPF.pdf | ||
| 2. Location Map.pdf |
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Text version
USDA – Forest Service
PAST PERFORMANCE QUESTIONNAIRE
(Ref. FSH 6309.31 and 41 USC 1)
INSTRUCTIONS: See Box 11, Remarks, if extra space is needed to answer any questions below. Mark “X” in appropriate boxes.
1. CONTRACTOR NAME, ADDRESS, AND TELEPHONE NO.
3. BUSINESS
Company Co-partnership Corporation Individual Non-profit Organization
4. How many years do you or your firm have in the line of work contemplated by this solicitation?
5. How many years of experience in contracting have you or your business had as a (a) prime contractor ____ and/or (b) sub-contractor ____?
6. List below the projects your business has completed within the last three years:
CONTRACT
AMOUNT TYPE OF PROJECT
DATE
COMPLETED
NAME, ADDRESS, AND TELEPHONE NO. OF
OWNER/PERSON TO CONTACT FOR PROJECT
INFORMATION
7a. Have you ever failed to complete any work awarded to you? Yes No 7b. If “Yes” to Item 8a type of project and reason(s) why:
8. Remarks. Specify Box Numbers (Attach sheets if extra space is needed to fully answer any above question):
CERTIFICATION
I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any person named as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.
9a. CERTIFYING OFFICIAL’S NAME AND TITLE
b. SIGNATURE (Sign in ink) 10. DATE
2. SUBMITTED TO (office Name and Address) USDA Forest Service Attn: Erin Scott-James, Contract Specialist Email: erin.scott-james@usda.gov
127EAT26Q0008 - Los Padres NF Snowplay Portable Toilet Rental Services
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