Attachment D PAST PERFORMANCE QUESTIONAIRE.pdf

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Attached to
36C78625Q50246 Janitorial Services Black Hills National Cemetery -- S201
Solicitation number
QSE--36C78625Q50246
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About this file

This document is a Past Performance Questionnaire template designed for contractors to detail their previous contract experience when bidding on federal contracts. The form requires contractors to list at least three contracts completed within the last 5 years that are comparable in size, complexity, and scope to the contract being evaluated. Contractors are specifically instructed to prioritize listing National Cemetery Administration (NCA) contracts first, followed by non-NCA contracts. The form captures comprehensive contract details including contract number, contractor information, contract value, subcontracting details, work completion percentage, service description, and contact information for references. This template is part of the solicitation for Janitorial Services at Black Hills National Cemetery, issued by the Department of Veterans Affairs National Cemetery Administration.

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PAST PERFORMANCE QUESTIONAIRE

INSTRUCTIONS: Contractor must identify previous federal, state, local government and or private contracts completed that are comparable in size, complexity and scope to the contract being evaluated.

List at least three (3) contracts for evaluation. Contracts must be either completed 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 .