Attachment 07 Past Performance Questionnaire .pdf
PDF 630 KB Posted
- Attached to
- B11177 HVAC Replacement Federal contract opportunity
- Solicitation number
- FA468624R0027
About this file
This document is a Past Performance Questionnaire to gather information about the contractor's previous work on a Backflow Preventer Replacement project. The questionnaire requests details on the contract, such as the contract number, type, period of performance, initial and final contract prices, and a description of the services provided. It also asks for information about the customer or agency, including the name, geographic description of services, and evaluator identification. The questionnaire is intended to be used as part of a federal contract opportunity, specifically Solicitation Number FA468624R0027 for the B11177 HVAC Replacement project at Beale AFB, CA. The solicitation sets forth requirements such as a Statement of Work, wage determination, NAICS code and size standard, set-aside for small businesses, and project timeline. Key details include a project value between $250,000 and $500,000, a site visit scheduled for August 13, 2024, and proposal due date of September 3, 2024.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 09 Combined RFIs and Response.pdf | ||
| Attachment 01 Statement of Need Rev 01.docx | DOCX document | |
| Attachment 07 Past Performance Questionnaire Rev 01.pdf | ||
| Solicitation Amendment FA468624R00270001 SF 30.pdf | ||
| Solicitation Amendment - FA468624R00270001.pdf | ||
| Attachment 08 Combined As Builts.pdf | ||
| Solicitation - FA468624R0027.pdf | ||
| Attachment 02 Wage Determination.txt | TXT text file | |
| Attachment 03 Shop Drawings.pdf | ||
| Attachment 06 AF 3064.xlsx | XLSX spreadsheet | |
| Attachment 01 Statement of Need .docx | DOCX document | |
| Attachment 04 EAL Access Request.xlsx | XLSX spreadsheet | |
| Attachment 05 AF 3052 Cost Estimate.xlsx | XLSX spreadsheet |
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Text version
ATTACHMENT - INSTRUCTIONS TO OFFERORS (ITO)
ITO – 1.2 Page 1
Backflow Preventer Replacement Past Performance Questionnaire Project 1 of 2
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104
SECTION 1: CONTRACT IDENTIFICATION
Contractor: _________________________________
Cage Code of contractor contract was awarded to: _________________________________
Contract number: _______________________________________
Contract type: ______________________________ (If multiple types (i.e. Firm-Fixed Price with Time & Material), list percentage and dollar amount of Firm-Fixed Price portion)
Was this a competitive contract? Yes _____ No _____
Did this contract include Design-Build efforts ? Yes _____ No _____
Did this contract include Bonding ? Yes _____ No _____
Period of performance: _________________________________________________________
Initial contract price: $____________________________
Current/final contract price: $_______________________________
Reasons for differences between initial contract price and final contract price:
Description of service provided:
ITO – 1.2 Page 2
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
Customer or agency name:
Customer or agency description (if applicable):
Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:
SECTION 3. EVALUATOR IDENTIFICATION
Evaluator's name:
Evaluator's title:
Evaluator's phone/fax number:______________________________________________________ Evaluator’s email: __________________________________________________________________
Number of years evaluator worked on subject contract: ___________________________________
ITO – 1.2 Page 3
Backflow Preventer Replacement Past Performance Questionnaire Project 2 of 2
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104
SECTION 1: CONTRACT IDENTIFICATION
Contractor: _________________________________
Cage Code of contractor contract was awarded to: _________________________________
Contract number: _______________________________________
Contract type: ______________________________ (If multiple types (i.e. Firm-Fixed Price with Time & Material), list percentage and dollar amount of Firm-Fixed Price portion)
Was this a competitive contract? Yes _____ No _____
Did this contract include Design-Build efforts ? Yes _____ No _____
Did this contract include Bonding ? Yes _____ No _____
Period of performance: _________________________________________________________
Initial contract price: $____________________________
Current/final contract price: $_______________________________
Reasons for differences between initial contract price and final contract price:
Description of service provided:
ITO – 1.2 Page 4
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
Customer or agency name:
Customer or agency description (if applicable):
Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:
SECTION 3. EVALUATOR IDENTIFICATION
Evaluator's name:
Evaluator's title:
Evaluator's phone/fax number:______________________________________________________ Evaluator’s email: __________________________________________________________________
Number of years evaluator worked on subject contract: ___________________________________
ITO – 1.2 FA4686-16-R-0007 Page 5
Evaluator’s Signature Date__________________________
Thank you for your prompt response and assistance!
Please return this completed questionnaire to:
DEPARTMENT OF THE AIR FORCE
robert.briney.2@us.af.mil and gabriel.fickel@us.af.mil mailto:Kelly.Benton@us.af.mil mailto:Dustin.Lashley@us.af.mil
ITO ATTACHMENT 1.2
File details come from the government source that posted it. Updated .