Attachment C - Past Performance Questionnaire.docx
DOCX document 23 KB Posted
- Solicitation number
- 70B03C26Q00000040
About this file
This is a Past Performance Questionnaire template for the U.S. Customs and Border Protection (CBP) custodial and trash/waste removal solicitation at the Niagara Falls Border Patrol Station. The form is designed to collect references from the bidding contractor's previous clients and contains three identical sections for documenting past performance on relevant contracts.
Each section of the questionnaire requires the following information: the agency name where services were performed, the point of contact including name, title, phone number, and email, the period of service with start and end dates, contract type (Firm Fixed Price, Time & Materials, Cost Reimbursable, etc.), total contract value, and a brief description of the project. The form also requires the reference contact to provide a performance rating using a five-point scale (Excellent, Good, Acceptable, Fair, Poor), indicate whether they would award another contract to the company, provide written explanation of the rating, and sign and date the completed form. This template allows CBP to evaluate contractor capabilities based on documented experience with similar custodial and waste removal services.
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Other files
| File | Type | Posted |
|---|---|---|
| RFI Responses.pdf | ||
| RFQ 70B03C26Q00000040 - Amendment 3.pdf | ||
| RFQ 70B03C26Q00000040 - Amendment 3.pdf | ||
| RFQ 70B03C26Q00000040 - Amendment 2.pdf | ||
| RFI Responses.docx | DOCX document | |
| Attachment B - Price Quote Template.doc | DOC document | |
| RFQ 70B03C26Q00000040 - Amendment 1.pdf | ||
| RFQ 70B03C26Q00000040.pdf | ||
| Attachment E - Task Frequency Chart.docx | DOCX document | |
| Attachment D - Wage Determination 2015-4147 v34.pdf | ||
| Attachment F - Worksite Specific Statement.xlsx | XLSX spreadsheet | |
| Attachment B - Price Quote Template.doc | DOC document | |
| Attachment A - Statement of Work.docx | DOCX document |
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Text version
RFQ U.S. CBP – Custodial, Trash/Waste Removal
Past Performance Form
Agency Name:
POC (Contract representative, Project/Program Manager, or Technical representative) Name and Title:
Phone:
Email:
Period of Service
From:
To:
Contract Type (Firm Fixed Price, Time & Materials; Cost Reimbursable, etc., Cost plus award fee, etc.):
Contract Value:
Brief project description and title:
Would you award a contract to this company again given a choice? Yes or No Circle their performance rating:
Excellent Good Acceptable Fair Poor
Explain:
| Print Name | Title |
| Signature | Date |
Past Performance Form
Agency Name:
POC (Contract representative, Project/Program Manager, or Technical representative) Name and Title:
Phone:
Period of Service
Contract Type (Firm Fixed Price, Time & Materials; Cost Reimbursable, etc., Cost plus award fee, etc.):
Brief project description and title:
Would you award a contract to this company again given a choice? Yes or No Circle their performance rating:
Excellent Good Acceptable Fair Poor
Explain:
| Print Name | Title |
| Signature | Date |
Past Performance Form
Agency Name:
POC (Contract representative, Project/Program Manager, or Technical representative) Name and Title:
Phone:
Period of Service
Contract Type (Firm Fixed Price, Time & Materials; Cost Reimbursable, etc., Cost plus award fee, etc.):
Brief project description and title:
Would you award a contract to this company again given a choice? Yes or No Circle their performance rating:
Excellent Good Acceptable Fair Poor
Explain:
| Print Name | Title |
| Signature | Date |
File details come from the government source that posted it. Updated .