Attachment 4 - Past Performance Questionnaire - Repair Sewer Manholes.pdf
PDF 492 KB Posted
- Attached to
- Repair Sewer Manholes Beale AFB
- Solicitation number
- FA468624F0005
About this file
This document contains two past performance questionnaires related to sewer manhole repair projects. The questionnaires collect information about previous federal contracts for sewer manhole repair services, including the contract and customer identities, period of performance, initial and final prices, descriptions of work performed, and evaluator contact information. The respondents are asked to provide details on whether the contracts were competitive, included design-build or bonding requirements, and reasons for any price differences. This information will be used to evaluate offerors' past performance for Solicitation FA468624F0005 issued by the Department of the Air Force Air Combat Command. The solicitation seeks proposals to repair various sewer manholes at Beale Air Force Base by replacing or resealing grade rings, frames, covers, and raising frames, as well as installing plugs, sealing around pipes and benches, and addressing inflow and infiltration issues.
View the file
Other files
Show all 21
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT - INSTRUCTIONS TO OFFERORS (ITO)
ITO – 1.2 Page 1
Repair Sewer Manholes Past Performance Questionnaire Project 1 of 2
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104
SECTION 1: CONTRACT IDENTIFICATION
Contractor: _________________________________
Cage Code of contractor contract was awarded to: _________________________________
Contract number: _______________________________________
Contract type: ______________________________ (If multiple types (i.e. Firm-Fixed Price with Time & Material), list percentage and dollar amount of Firm-Fixed Price portion)
Was this a competitive contract? Yes _____ No _____
Did this contract include Design-Build efforts ? Yes _____ No _____
Did this contract include Bonding ? Yes _____ No _____
Period of performance: _________________________________________________________
Initial contract price: $____________________________
Current/final contract price: $_______________________________
Reasons for differences between initial contract price and final contract price:
Description of service provided:
ITO – 1.2 Page 2
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
Customer or agency name:
Customer or agency description (if applicable):
Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:
SECTION 3. EVALUATOR IDENTIFICATION
Evaluator's name:
Evaluator's title:
Evaluator's phone/fax number:______________________________________________________ Evaluator’s email: __________________________________________________________________
Number of years evaluator worked on subject contract: ___________________________________
ITO – 1.2 Page 3
Repair Sewer Manholes Past Performance Questionnaire Project 2 of 2
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104
SECTION 1: CONTRACT IDENTIFICATION
Contractor: _________________________________
Cage Code of contractor contract was awarded to: _________________________________
Contract number: _______________________________________
Contract type: ______________________________ (If multiple types (i.e. Firm-Fixed Price with Time & Material), list percentage and dollar amount of Firm-Fixed Price portion)
Was this a competitive contract? Yes _____ No _____
Did this contract include Design-Build efforts ? Yes _____ No _____
Did this contract include Bonding ? Yes _____ No _____
Period of performance: _________________________________________________________
Initial contract price: $____________________________
Current/final contract price: $_______________________________
Reasons for differences between initial contract price and final contract price:
Description of service provided:
ITO – 1.2 Page 4
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
Customer or agency name:
Customer or agency description (if applicable):
Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:
SECTION 3. EVALUATOR IDENTIFICATION
Evaluator's name:
Evaluator's title:
Evaluator's phone/fax number:______________________________________________________ Evaluator’s email: __________________________________________________________________
Number of years evaluator worked on subject contract: ___________________________________
ITO – 1.2 FA4686-16-R-0007 Page 5
Evaluator’s Signature Date__________________________
Thank you for your prompt response and assistance!
Please return this completed questionnaire to:
DEPARTMENT OF THE AIR FORCE
gene.yu.1@@us.af.mil and gabriel.fickel@us.af.mil mailto:Kelly.Benton@us.af.mil mailto:Dustin.Lashley@us.af.mil
ITO ATTACHMENT 1.2
File details come from the government source that posted it. Updated .