Attachment_2_Past_Performance_Survey.pdf
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- Attached to
- 21-foot boat with outboard engine and trailer
- Solicitation number
- 140FS326Q0070
About this file
This is a Past or Present Performance Survey form used to collect information about a contractor's prior contract experience and performance history.
The form requests general company information including name, address, UEI number, establishment date, and company leadership details, along with small business status designation. The primary focus is Section 2, which requires detailed documentation of up to three completed or in-progress contracts or subcontracts. For each contract, respondents must provide the contracting agency or company name, point of contact information, contract number, contract amount, project title and location, and a description of the general scope of work. The form requires identification of the company's role as prime contractor, joint venture partner, or subcontractor, along with a description of work performed and any subcontracted work with associated amounts. Additional required information includes the performance period duration in days, scheduled and actual completion dates, percentage of work completed, termination status, whether quality control and safety plans were utilized, and a description of any quality control or safety problems encountered and their resolutions. The survey concludes with a certification section requiring the preparer's name, telephone number, email address, title, signature, and date. The form accommodates documentation of three contracts and serves as a standard evaluation tool for assessing contractor qualifications and past performance in federal procurement processes.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140FS326Q0070.pdf | ||
| Attachment_1_Statement_of_Work.pdf |
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Text version
ATTACHMENT 2 page 1 of 5
PAST OR PRESENT PERFORMANCE SURVEY
Your Company Name:
Street Address:
City, State/Territory and ZIP Code:
1. GENERAL BUSINESS INFORMATION
Date Firm Organized/Established:
Company President: Vice President:
WWW.SAM.GOV UEI Number:_______________ __
Is company a small business? YES [ ] NO [ ] N/A [ ]
2. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS
Complete and submit the information requested on page 2-4 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.
http://www.sam.gov/
ATTACHMENT 2 page 2 of 5
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: Percentage of Work Completed: %
Were You Terminated?
Did you use a Quality Control Plan? _________ Did you use a Safety Plan?_______________
Quality Control or Safety Problems encountered (if any):
How were the problems resolved?
ATTACHMENT 2 page 3 of 5
b. Second Contract:
Point of Contact: Telephone Number:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: %
ATTACHMENT 2 page 4 of 5
c. Third Contract:
Point of Contact: Telephone Number:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: %
ATTACHMENT 2 page 5 of 5
4. Certification of Past Performance Information:
Type or Print Information
Name of Survey Preparer _______________________________
Phone:__________________________ E-Mail;___________________________
Title__________________________________________
Signature______________________________________
Date__________________________________________
| PAST OR PRESENT PERFORMANCE SURVEY |
| 1. GENERAL BUSINESS INFORMATION |
| 2. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS |
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