Attachment C - Past Performance Questionnaire.pdf
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- Solicitation number
- QSE--36C78625Q50066
About this file
This is a Past Performance Questionnaire template that contractors must complete to demonstrate their relevant experience. The form requires contractors to list at least three contracts completed or current within the last 5 years that are similar in size and scope to the contract being evaluated.
The questionnaire collects detailed information including contract number, contractor details, contract type and value, award date, subcontracting involvement, percentage of work completed by the contractor, description of services provided, and contact information for references. The instructions specifically note that any National Cemetery Administration (NCA) contracts should be listed first, followed by non-NCA contracts. This template appears to be associated with a solicitation for grounds maintenance services at Fort Jackson National Cemetery under the Department of Veterans Affairs National Cemetery Administration.
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Text version
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 .