Attachment 3 Past Performance Questionnaire.pdf
PDF 74 KB Posted
- Attached to
- Firefighter Turnout Equipment Federal contract opportunity
- Solicitation number
- 127EAT24Q0039
- Issued by
- Department of Agriculture Forest Service
About this file
This document is a Past Performance Questionnaire to be completed by contractors providing information on their past experience for a federal contract opportunity.
The questionnaire asks the contractor to provide details on their business structure, years of experience in the line of work, and previous projects completed within the last three years. It also requests information on whether the contractor has ever failed to complete any awarded work. The purpose is to allow the government to verify the contractor's capability to perform the work. The questionnaire is referenced in the instructions for the related federal contract opportunity, which is for firefighter turnout equipment for the USDA Forest Service.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 1 Innotex Gear Example.pdf | ||
| Attachment 2 Turnout Coat Front and Back with USFS Lettering.pdf | ||
| TURNOUT GEAR SOLICITATION 127EAT24Q0039.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.
2. SUBMITTED TO (office Name and Address)
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
File details come from the government source that posted it. Updated .