Attachment 3- Past Performance Questionnaire.pdf

AFPET FLOOR CLEANING SERVICES

EXPERIENCE QUESTIONNAIRE

Source Selection Sensitive (when filled-out) IAW FAR 2.101 and FAR 3.104

FOR OFFICIAL USE ONLY (FOUO) FA4610-21-Q-0045

Attachment 3-

Technical Experience Questionnaire

INSTRUCTIONS: For each sub-factor below, in the first table provide a detailed description of specific tasks performed for that factor that correspond to your “Project References” 1, 2, 3. Use the reference table to provide at least one but up to three (3) references for factor 1 to support the experience claimed in the first table.

Factor 1: Three (3) years of experience providing specific Floor Cleaning Services within the last five (5) years preceding the release of this request for quote. Provide detailed information in performing relevant floor cleaning services as described in Attachment 1, Performance Work Statement. Provide reference(s) and contact information to support the experience claimed by offeror.

To Be Considered Acceptable for Factor 1: The Contractor’s responses evidence that the contractor has three (3) years of experience performing the tasks described in Attachment 1- AFPET Floor Cleaning Performance Work Statement dtd 26 July 2021 within the last five (5) years preceding the release of this request for proposal. References provided must support the experience claimed by Offeror.

Use the narrative block in the first table to provide a description of Floor Cleaning Services performed for below item that corresponds to your referenced projects (i.e. ref. #1,2,3).

AFPET Floor Cleaning Services

At least three (3) years of experience within the last five

(5) years?

(ref. Attachment 1- AFPET Floor Cleaning Performance Work Statement dtd 26 July 2021)

Yes No

Narrative:

At least one reference but no more than 3 references for factor 1.

Project Reference #1 for Factor 1

Contract # Period of Performance Total Value

Contract Type

(Firm Fixed Price [FFP] or

Cost)

Performed By (provide name of company)

Performed as Prime (P) or Sub Contractor (S)?

Check as appropriate

P S POC Name:

Phone #:

Email:

AFPET FLOOR CLEANING SERVICES

EXPERIENCE QUESTIONNAIRE

Source Selection Sensitive (when filled-out) IAW FAR 2.101 and FAR 3.104

FOR OFFICIAL USE ONLY (FOUO) FA4610-21-Q-0045

Attachment 3-

Technical Experience Questionnaire

Project Reference #2 for factor 1 (leave blank if N/A)

Contract # Period of Performance Total Value

Contract Type

(Firm Fixed Price [FFP] or

Cost)

Performed By (provide name of company)

Performed as Prime (P) or Sub Contractor (S)?

Check as appropriate

P S POC Name:

Project Reference #3 for factor 1 (leave blank if N/A)

Contract # Period of Performance Total Value

Contract Type

(Firm Fixed Price [FFP] or

Cost)

Performed By (provide name of company)

Performed as Prime (P) or Sub Contractor (S)?

Check as appropriate

P S POC Name: