Attachment C - Past Performance Questionnaire.pdf

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Water Treatment System -- H946
Solicitation number
QSE--36C78624Q50184
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This document is a Past Performance Questionnaire to be completed by contractors for a federal contract opportunity. The questionnaire requires contractors to identify at least three previous federal, state, local government, or private contracts completed within the last five years that are similar in size and scope to the contract being evaluated. Contractors must provide details such as the contract number, dollar value, dates, type and extent of subcontracting, and a description of the supplies/services provided. The related federal contract opportunity is for Water Treatment System Operation, Maintenance, and Documentation, Bacteriological Testing, and Nitrate and Nitrite Testing at the Jacksonville National Cemetery. This is a commercial SDVOSB set-aside solicitation issued by the Department of Veterans Affairs, National Cemetery Administration. A site visit is scheduled for July 15, 2024.

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Other files

File Type Posted
Attachment D - 2015-4539 Jacksonville WD Services - 5-7-24.pdf PDF
Attachment A - Price Schedule.xlsx XLSX spreadsheet
Combined Synopsis Solicitation.pdf PDF
Attachment C - Past Performance Questionnaire.pdf PDF
Attachment E - 852.219-75 VA Notice of Limitations on Subcontracting.pdf PDF
Attachment B - Statement of Work.pdf PDF
SF30.pdf PDF
Questions and Answers.pdf PDF
Attachment B - Statement of Work.pdf PDF
Combined Synopsis Solicitation.pdf PDF
Attachment E - 852.219-75 VA Notice of Limitations on Subcontracting.pdf PDF
Attachment D - 2015-4539 Jacksonville WD Services - 5-7-24.pdf PDF
Attachment A - Price Schedule.xlsx XLSX spreadsheet
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PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS: Contractor must identify previous federal, state, local government and or private contracts completed that are similar in size and scope to the contract being evaluated. List at least three (3) contracts for evaluation. Contracts must be either competed or current within the last (5) years. One contract reference per form.

Note: List any National Cemetery Administration (NCA) contracts currently working or previously worked first followed by Non-NCA contracts.

Past Performance Questionnaire

Contract Number Contractor (Name Address, Zip Code)

Telephone Number Email Address Type of Contract Contract Dollar Value Date of Award (if not completed provide status)

Type/Extent of Subcontracting

Percentage of Work completed by the Contractor

Description of Supply/Services provided, location & relevancy of work

Address, Telephone Number & Email of the Contact Person, and Position

Form may be duplicated.

File details come from the government source that posted it. Updated .