Attachment_2-_Past_Performance_Survey.doc
DOC document 37 KB Posted
- Attached to
- Janitorial Services, Cabo Rojo NWR PR Federal contract opportunity
- Solicitation number
- 140FS323Q0195
About this file
This document contains a past performance survey template for contractors to submit references on previous federal contracts, along with details of a related solicitation for janitorial services at Cabo Rojo National Wildlife Refuge in Puerto Rico. The past performance survey requests information on the contractor's general business details and past contracts or subcontracts completed for the government or other clients, including contract details, value, period of performance, and quality control. Contractors are asked to submit the completed surveys from past performance references as an attachment. The related solicitation is numbered 140FS323Q0195 and seeks janitorial services at Cabo Rojo NWR in Puerto Rico, issued by the Department of the Interior Fish and Wildlife Service.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140FS323Q0195_Amd_0001.pdf | ||
| Attachment_3-_Quote_Schedule.docx | DOCX document | |
| Attachment_1-_Scope_of_Work.pdf | ||
| Sol_140FS323Q0195.pdf |
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Text version
ATTACHMENT 2
GSA RFQ page 4 of 4
GSA CONTRACTOR---PAST PERFORMANCE SURVEY
Your Company Name:
Street Address:
City, State and ZIP Code:
1. GENERAL BUSINESS INFORMATION
Date Firm Organized/Established:
Company President:
Vice President:
UEI:
Is company a ; Sole Propriety [ ] Partnership [ ] Corporation [ ] Division [ ] N/A [ ]
2. GSA INFORMATION
A. GSA Contract Number:
Order Limits? Minimum
Maximum
B. Do you have a servicing office in the service/delivery location? Yes___ No ____
If yes;
Address: _______________________________________
Local POC Name: _________________________
Local POC Phone: ________________________
3. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS
Complete and submit the information requested on page 2-3 below on prime contracts or subcontracts completed or in progress. Government contracts are preferred; but, if you have not performed Government contracts, indicate any other contracts completed or in progress.
a. First Contract:
Contracting Agency or Company:
Point of Contact:
Telephone Number:
Contract Number:
Contract/Subcontract Amount: $
Project Title and Location:
General Scope of Project:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $
Period of Performance: days Scheduled Completion Date:
Actual Completion Date:
Were You Terminated?
Did you use a Quality Control Plan? _________ Quality Control Problems encountered (if any):
How were the problems resolved?
b. Second Contract:
Contracting Agency or Company:
Point of Contact:
Telephone Number:
Contract Number:
Contract/Subcontract Amount: $
Project Title and Location:
General Scope of Project:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $
Period of Performance: days Scheduled Completion Date:
Actual Completion Date:
Were You Terminated?
Did you use a Quality Control Plan? _________ Quality Control Problems encountered (if any):
How were the problems resolved?
4. Certification of Past Performance Information:
Type or Print Information
Name of Survey Preparer_______________________________
Title__________________________________________
Signature______________________________________
Date__________________________________________
File details come from the government source that posted it. Updated .