Attachment 5_Exhibit A_Performance Relevancy Questionnaire (1).pdf
PDF 107 KB Posted
- Attached to
- Request for Quotation (RFQ) for Sam Houston Ranger District Recreation Areas (TX) Ground Maintenance-Mowing
- Solicitation number
- 12444026Q0049
- Issued by
-
Department of Agriculture Forest Service
About this file
This is a Performance Relevancy Questionnaire template used by the U.S. Forest Service to evaluate contractor qualifications and past performance on federal contracts.
The questionnaire requires offerors to provide comprehensive information about their experience and capability to perform work similar to the solicitation. Contractors must document up to five completed projects within the last three years with details including contract amount, project type, completion date, and contact information for the contracting officer or project inspector. Offerors must also disclose all concurrent contractual commitments running parallel to the anticipated work, including contract number, dollar amount, percentage completion, and expected completion date. The form specifically requires responses to whether the contractor has failed to complete any awarded work or had work completed via performance bond, with explanations required if either circumstance applies. For each project listed, contractors must provide separate detailed responses addressing the specific work elements performed by their firm, work performed by major subcontractors and whether those same subcontractors will be used on Forest Service projects, technical areas considered uniquely relevant to the solicitation, and current contact information for the owner/government agency contracting officer or inspector including phone number, facsimile, and email. The questionnaire requires certification by an authorized official attesting that all statements are complete and correct to the best of their knowledge, and that named references are authorized to provide verification of capability to the Forest Service.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Combined Synopsis_Solicitation Q0049 (1).pdf | ||
| Attachment 4_Maps (1).pdf | ||
| Attachment 1_WD TX.pdf | ||
| Attachment 3_Schedule of Items (1).xlsx | XLSX spreadsheet | |
| Attachment 2_SOW (1).pdf | ||
| Sol_12444026Q0049_Amd_0002 (1).pdf |
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Text version
Exhibit A: PERFORMANCE RELEVANCY QUESTIONNAIRE
Provide the following information requested in this format for each of the projects/contracts being described. Projects may be ongoing and cannot have been completed any later than 3 years prior to the to this issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify. Use as much space as required. OFFEROR SHOULD PLACE
THEIR NAME ON TOP OF EACH QUESTIONNAIRE PAGE.
INSTRUCTIONS: If extra space is needed use the reverse. Mark "X" in appropriate boxes.
CONTRACTOR NAME, ADDRESS & TELEPHONE
How many years do you or your firm have in the line of work contemplated by this solicitation ? How many years’ experience in contracting have you or your business had as a (a) prime contractor and/or (b) sub-contractor ?
PART 1 - PAST / CURRENT PROJECTS
List below up to 5 projects your business has completed within the last 3 years similar in scope to the solicitation:
Contract Amount Type of Project Date Completed Name Address & Telephone No. of Person to Contact for Project Information.
List below all of your firm's contractual commitments running concurrently with the work contemplated by this solicitation:
Contract No. Dollar Amount of Project
Name, Address & Phone No. of Business Govt./Agency
Awarded (Units)
Completed
Date Contract Completed
Have you ever failed to complete any work awarded to you? Yes ( ) No ( ) Has work ever been completed by performance bond? Yes ( ) No ( ) If "Yes" to either item above specify location(s) and reason(s) why:
PART 2 – SPECIALIZED EXPERIENCE – For each of the projects listed above, address the following comments on a separate sheet:
a) Describe the specific elements of the work performed by your firm.
b) Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on Forest Service projects.
c) Address any technical areas about this project you consider uniquely relevant to this solicitation.
d) Point of Contact for Owner/Government agency Contracting Officer and or inspector; include a current phone number and facsimile number. Email address is also desired.
CERTIFICATION
I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.
Certifying Official's Printed Name and Title Signature (In Ink) Date
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