Attachment C - Past Performance Questionnaire Ft. McClellan POW Cemetery.pdf
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- Solicitation number
- QSE--36C78624Q50139
About this file
This document is a Past Performance Questionnaire for a federal contract opportunity. The questionnaire instructs offerors to identify up to 5 previous federal, state, local government, or private contracts completed within the last 3 years that are similar in size and scope to the contract being evaluated. Offerors must provide details on the contract, including the name of the company/agency they provided services for, contract number, type and dollar value of the contract, date of award, and whether the company was the prime or subcontractor. Offerors must also describe the supply/services provided, the complexity of the work, and the percentage of work completed by the company versus subcontractors. This Past Performance Questionnaire is related to the federal contract opportunity for "S208 - Grounds Maintenance Services at Ft. McClellan POW Cemetery", a base + 4 option year contract issued by the Department of Veterans Affairs National Cemetery Administration.
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PAST PERFORMANCE QUESTIONNAIRE
INSTRUCTIONS: Offerors must identify previous federal, state, local government, and or private contracts completed and that are similar in size and scope to the contract being evaluated. List at least three (3), but no more than five (5) contracts performed within the last three (3) years. (One contract reference per form; Form may be duplicated)
NOTE: List any National Cemetery Administration (NCA) contracts currently working or previously worked first followed by Non-NCA contracts.
Contractor (you) Information:
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
Telephone Number: ___________________________________________________________________
E-mail: ______________________________________________________________________________
Contract Information:
Name of company/agency you provided service for: __________________________________________
Contract Number: ____________________________________________________________________
Type of Contract: _____________________________________________________________________
Contract Dollar Value: _________________________________________________________________
Date of Award: _______________________________________________________________________
Status: Completed, yes____ No____ If not completed, projected completion date___________________
If not completed, why? _________________________________________________________________
Were you the Prime? ________ were you the Sub? _______
Point of Contact Information for the company/agency you serviced:
Name of the Contract Person & their position: _______________________________________________
Address: ____________________________________________________________________________
Telephone Number: ___________________________________________________________________
E-mail: _____________________________________________________________________________
Description of Supply/Service(s) provided, location & relevancy of work:
Complexity of Product/Service, if any:
Percentage of Work completed by your company/by subcontractor: (If less than 100%, please explain the tasks you performed.)
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