Attachment_3_Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- JANITORIAL SRVS JOHN HEINZ NWR, Philadelphia, PA
- Solicitation number
- 140FS325Q0049
About this file
The document is a Past Performance Survey template designed to collect detailed information about a company's previous contract work. The template requires businesses to provide comprehensive details about up to three contracts, including contracting agency, contract value, project scope, performance role, subcontractor details, completion status, quality control practices, and any encountered problems. Key sections include general business information verification (such as small business status and SAM.gov UEI number), contract specifics like period of performance, and a certification section for the survey preparer to validate the submitted information.
This survey appears to be part of the solicitation (140FS325Q0049) for Janitorial Services at the John Heinz National Wildlife Refuge in Philadelphia, PA, issued by the U.S. Fish & Wildlife Service. The solicitation seeks a contractor to provide janitorial services for one base year with four option years, covering facilities located at 8601 Lindbergh Boulevard. A mandatory site visit is scheduled for Thursday, March 13, 2025, at 10:00 AM ET, with participants to meet at the Visitor Center. The survey template will likely be used to assess potential contractors' past performance and capability to execute the janitorial services contract.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment_1__Janitorial_SOW_John_Heinz_NWR.pdf | ||
| Sol_140FS325Q0049.pdf | ||
| Attachment_2_Wage_Determination_John_Heinz_NWR.pdf |
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Text version
ATTACHMENT 3
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.
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?
b. Second Contract:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
c. Third Contract:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
4. Certification of Past Performance Information:
Type or Print Information
Name of Survey Preparer _______________________________
Phone:__________________________ E-Mail;___________________________
Title__________________________________________
Signature______________________________________
Date__________________________________________
File details come from the government source that posted it. Updated .