Attachment C - Past Performance Questionnaire.pdf
PDF 418 KB Posted
- Solicitation number
- QSE--36C78624Q50366
About this file
This document is a Past Performance Questionnaire template for federal contractors to provide details on relevant previous contracts. The questionnaire instructs contractors to identify at least three 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 information on the contract number, their company details, the type and dollar value of the contract, the date of award, the subcontracting percentage, a description of the work, and contact information for a reference. This questionnaire is related to a federal contract opportunity for Water Treatment Services at the Sarasota National Cemetery, solicitation number QSE--36C78624Q50366, with a closing date of August 16, 2024. The contract is being awarded by the Department of Veterans Affairs National Cemetery Administration.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A - Price Schedule.xlsx | XLSX spreadsheet | |
| Attachment E - 852.219-75 VA Notice of Limitations on Subcontracting.pdf | ||
| Combined Synopsis Solicitation.pdf | ||
| Attachment B - Statement of Work.pdf | ||
| Attachment D - Wage Determination.pdf |
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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 .