ATTACHMENT C - PAST PERFORMANCE QUESTIONNAIRE PUERTO RICO NATIONAL CEMETERY.pdf
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- Solicitation number
- 36C78625R50036
About this file
This is a Past Performance Questionnaire template designed for offerors to document their previous contract experience for the Grounds Maintenance Services solicitation at Puerto Rico National Cemetery. The form requires contractors to list 3-5 contracts performed within the last three years that are similar in size and scope to the current opportunity, with National Cemetery Administration (NCA) contracts to be listed first.
The questionnaire requests detailed information including contractor details, contract information (number, type, dollar value, award date, completion status), and point of contact information for the reference company/agency. It also requires descriptions of services provided, complexity of work, and percentage of work completed by the contractor versus subcontractors. The form must be completed separately for each contract reference and can be duplicated as needed. This is an evaluation tool for the Department of Veterans Affairs National Cemetery Administration to assess bidders' relevant past performance on similar contracts.
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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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