Attachment 6. Project Past Performance Experience Questionnaire.pdf
PDF 47 KB Posted
- Attached to
- Level II Armed Security Guard Service
- Solicitation number
- 70FBR426R0000006
About this file
This is a Project Experience Questionnaire form that offerors must complete for evaluation purposes in a federal contract solicitation.
The form requires offerors to provide detailed information on up to five (5) prior projects demonstrating relevant experience. For each project, offerors must submit: project description, contract/project number, project location, original and final contract amounts (rounded to nearest dollar), owner/agency name with point of contact and telephone/facsimile information, original project dates (start and completion), prime contractor or subcontractor status, contract modification details including quantity and initiator (client or contractor), time extension information with total extended days, schedule compliance status with reasons for any delays, and history of disputes or defaults with explanatory details. The form includes a header section for firm name, primary point of contact, telephone number, and email address or facsimile number. Blank pages are referenced for detailed explanations where necessary, particularly for project descriptions, reasons for schedule delays, dispute reasons, and default reasons. This template is designed to evaluate an offeror's past performance, contract management capability, and ability to meet schedule and budget requirements on similar projects.
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Text version
PROJECT EXPERIENCE QUESTIONNAIRE
(Offerors must complete this form for evaluation purposes)
NAME OF FIRM POINT OF CONTACT
TELEPHONE NO. EMAIL ADDRESS OR FAX
NO.
PRIOR PROJECT EXPERIENCE
(TO BE COMPLETED BY THE OFFEROR - LIST UP TO FIVE (5) INDIVIDUAL PROJECTS)
PROJECT DESCRIPTION
(USE BLANK PAGE IF NECESSARY) CONTRACT/PROJECT
NO.
LOCATION
CONTRACT AMOUNT (ROUND
TO NEAREST DOLLAR)
ORIGINAL FINAL
1. $ $
2. $ $
3. $ $
4. $ $
5. $ $
NAME OF OWNER/AGENCY POINT OF CONTACT TELEPHONE NO. FACSIMILE NO.
1.
2.
3.
4.
5.
ORIGINAL PROJECT DATES WERE YOU A PRIME CONTRACTOR
OR SUBCONTRACTOR?
WERE THERE
CONTRACT
MODIFICATIONS?
(YES/NO)
HOW MANY?
WHO INITIATED
THEM? CLIENT OR
CONTRACTOR? START COMPLETION
1.
2.
3.
4.
5.
WERE THERE ANY
TIME EXTENSIONS?
(YES/NO)
IF SO, INDICATE
TOTAL EXTENDED
DAYS?
WAS THE
SCHEDULE MET?
(YES/NO)
IF NOT, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
1.
2.
3.
4.
5.
HAVE YOU EVER
ENTERED A
DISPUTE? (YES/NO)
IF SO, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
HAVE YOU EVER
BEEN DEFAULTED?
(YES/NO)
IF SO, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
1.
2.
3.
4.
5.
| NAME OF FIRMRow1: |
| POINT OF CONTACTRow1: |
| TELEPHONE NO: |
| EMAIL ADDRESS OR FAX NO: |
| CONTRACTPROJECT NO1: |
| LOCATION1: |
| fill_85: |
| fill_86: |
| CONTRACTPROJECT NO2: |
| LOCATION2: |
| fill_87: |
| fill_88: |
| CONTRACTPROJECT NO3: |
| LOCATION3: |
| fill_89: |
| fill_90: |
| CONTRACTPROJECT NO4: |
| LOCATION4: |
| fill_91: |
| fill_92: |
| CONTRACTPROJECT NO5: |
| LOCATION5: |
| fill_93: |
| fill_94: |
| POINT OF CONTACT1: |
| TELEPHONE NO1: |
| FACSIMILE NO1: |
| POINT OF CONTACT2: |
| TELEPHONE NO2: |
| FACSIMILE NO2: |
| POINT OF CONTACT3: |
| TELEPHONE NO3: |
| FACSIMILE NO3: |
| POINT OF CONTACT4: |
| TELEPHONE NO4: |
| FACSIMILE NO4: |
| POINT OF CONTACT5: |
| TELEPHONE NO5: |
| FACSIMILE NO5: |
| COMPLETION1: |
| WERE YOU A PRIME CONTRACTOR OR SUBCONTRACTOR1: |
| WERE THERE CONTRACT MODIFICATIONS YESNO1: |
| HOW MANY1: |
| WHO INITIATED THEM CLIENT OR CONTRACTOR1: |
| COMPLETION2: |
| WERE YOU A PRIME CONTRACTOR OR SUBCONTRACTOR2: |
| WERE THERE CONTRACT MODIFICATIONS YESNO2: |
| HOW MANY2: |
| WHO INITIATED THEM CLIENT OR CONTRACTOR2: |
| COMPLETION3: |
| WERE YOU A PRIME CONTRACTOR OR SUBCONTRACTOR3: |
| WERE THERE CONTRACT MODIFICATIONS YESNO3: |
| HOW MANY3: |
| WHO INITIATED THEM CLIENT OR CONTRACTOR3: |
| COMPLETION4: |
| WERE YOU A PRIME CONTRACTOR OR SUBCONTRACTOR4: |
| WERE THERE CONTRACT MODIFICATIONS YESNO4: |
| HOW MANY4: |
| WHO INITIATED THEM CLIENT OR CONTRACTOR4: |
| COMPLETION5: |
| WERE YOU A PRIME CONTRACTOR OR SUBCONTRACTOR5: |
| WERE THERE CONTRACT MODIFICATIONS YESNO5: |
| HOW MANY5: |
| WHO INITIATED THEM CLIENT OR CONTRACTOR5: |
| IF SO INDICATE TOTAL EXTENDED DAYS1: |
| WAS THE SCHEDULE MET YESNO1: |
| IF NOT WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY1: |
| IF SO INDICATE TOTAL EXTENDED DAYS2: |
| WAS THE SCHEDULE MET YESNO2: |
| IF NOT WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY2: |
| IF SO INDICATE TOTAL EXTENDED DAYS3: |
| WAS THE SCHEDULE MET YESNO3: |
| IF NOT WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY3: |
| IF SO INDICATE TOTAL EXTENDED DAYS4: |
| WAS THE SCHEDULE MET YESNO4: |
| IF NOT WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY4: |
| IF SO INDICATE TOTAL EXTENDED DAYS5: |
| WAS THE SCHEDULE MET YESNO5: |
| IF NOT WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY5: |
| IF SO WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY1: |
| HAVE YOU EVER BEEN DEFAULTED YESNO1: |
| IF SO WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY1_2: |
| IF SO WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY2: |
| HAVE YOU EVER BEEN DEFAULTED YESNO2: |
| IF SO WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY2_2: |
| IF SO WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY3: |
| HAVE YOU EVER BEEN DEFAULTED YESNO3: |
| IF SO WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY3_2: |
| IF SO WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY4: |
| HAVE YOU EVER BEEN DEFAULTED YESNO4: |
| IF SO WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY4_2: |
| IF SO WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY5: |
| HAVE YOU EVER BEEN DEFAULTED YESNO5: |
| IF SO WHAT WAS THE REASON USE BLANK PAGE IF NECESSARY5_2: |
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| Start Date1: |
| Start Date2: |
| Start Date3: |
| Start Date4: |
| Start Date5: |
| Extensions1: |
| Extensions2: |
| Extensions3: |
| Extensions4: |
| Extensions5: |
| Dispute1: |
| Dispute2: |
| Dispute3: |
| Dispute4: |
| Dispute5: |
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