Attachment 7 - Past Performance Questionnaire - Cathodic Protection Wells.pdf
PDF 285 KB Posted
- Attached to
- Cathodic Protection, Wells
- Solicitation number
- FA468624R0013
About this file
This document is a Past Performance Questionnaire for a federal contract opportunity related to Cathodic Protection Wells. The questionnaire requests information about two prior contracts performed by the contractor, including the contract number, type, period of performance, initial and final contract price, and description of services provided. The questionnaire also asks for customer/agency identification and evaluator information.
The related federal contract opportunity is for a Cathodic Protection System for 7 water wells at Beale AFB, with an estimated magnitude of $300K - $500K. The NAICS code is 238190 - Cathodic Protection Installation. Key dates include a site visit on 11 April 2024, RFIs due by 16 April 2024, and proposals due by 22 April 2024. The solicitation was issued by the Department of the Air Force Air Combat Command.
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Other files
| File | Type | Posted |
|---|---|---|
| Cathodic Protection - Site Visit Sign in - 11 Apr 24.pdf | ||
| Distances between wells.pdf | ||
| Wells Cathodic Protection report_Map since 1980.pdf | ||
| RFI- Responses .xlsx | XLSX spreadsheet | |
| Solicitation Amendment - FA468624R00130001.pdf | ||
| Solicitation Amendment FA468624R00130001 SF 30.pdf | ||
| Attachment 11 - CONTRACTOR EAL 2024.xlsx | XLSX spreadsheet | |
| Attachment 8 - Hold Harmless Agreement - Cathodic Protection Wells.docx | DOCX document | |
| Attachment 4 - AF FM 813 - 21 NOV 23.pdf | ||
| Attachment 2 - AF 66 - 29 JAN 24.xlsx | XLSX spreadsheet | |
| Attachment 10 - Sec M - 5 Apr 24.docx | DOCX document | |
| Attachment 9 - Sec L - 5 Apr 2024.docx | DOCX document | |
| Attachment 5 - AF 3052 Cost Estimate Breakdown.xlsx | XLSX spreadsheet | |
| Attachment 3 - Site plan-CP direction.xlsx | XLSX spreadsheet | |
| Attachment 1 - Cathodic Protection Wells SON - 29 JAN 24.pdf | ||
| Solicitation - FA468624R0013- 5 Apr 24.pdf | ||
| Attachment 6 - AF 3052 Supplemental guidance.docx | DOCX document |
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Text version
ATTACHMENT 7 - Past Performance Questionnaire
ITO – 1.2 Page 1
Cathodic Protection Wells 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:
ATTACHMENT - INSTRUCTIONS TO OFFERORS (ITO)
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
Cathodic Protection Wells 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 FA4686-23-R-0013 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
milton.vasquez@us.af.mil and joshua.williams.23@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 .