Attachment 4 -Past Performance Questionnaire.pdf

This is a USDA Forest Service Past Performance Questionnaire form used to evaluate contractor capability and experience for federal contract opportunities. The form references FSH 6309.31 and 41 USC 1 and serves as a standardized assessment tool during the solicitation process.

The questionnaire requires contractors to provide foundational business information including company name, address, telephone number, business type (company, corporation, co-partnership, individual, or non-profit organization), and the office to which the application is submitted. Respondents must document years of experience in their specific line of work and years of contracting experience as both prime contractors and subcontractors. The form requires listing of all projects completed within the preceding three years, including contract amount, project type, completion date, and contact information for the project owner or manager. Contractors must disclose whether they have ever failed to complete awarded work and provide explanations if applicable. A certification section requires the certifying official's name, title, signature in ink, and date, with the signatory attesting that all statements are complete and correct and authorizing the Forest Service to verify the contractor's capability to perform the project. Additional remarks may be provided in Box 8 or on attached sheets as needed to fully address any questionnaire items.