Attachment C - Past Performance Questionnaire Memphis NC.pdf
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- Solicitation number
- QSE--36C78624Q50142
About this file
This document is a Past Performance Questionnaire that is part of a federal contract opportunity for Grounds Maintenance Services at Memphis National Cemetery. The solicitation number is QSE--36C78624Q50142.
The questionnaire instructs offerors to identify previous federal, state, local government, and/or private contracts similar in size and scope that were completed within the last 3 years, with a minimum of 3 and maximum of 5 contracts to be listed. Offerors must provide details on the contractor, contract, and point of contact information. They must also describe the services provided, complexity, and percentage of work completed by the prime contractor versus subcontractors. This information will be used to evaluate the offeror's past performance. The federal agency issuing this opportunity is 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.)
File details come from the government source that posted it. Updated .