Attachment D- PAST PERFORMANCE QUESTIONAIRE.pdf
PDF 128 KB Posted
- Solicitation number
- QSE--36C78625Q50154
About this file
The document is a Past Performance Questionnaire template designed for contractors to document previous federal, state, local government, and private 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 questionnaire captures comprehensive contract details including contract number, contractor information, contact details, contract type, dollar value, award date, subcontracting details, percentage of work completed, description of services provided, and contact person information. The form is intended to help evaluate a contractor's past performance and experience, with a specific focus on this solicitation for grounds maintenance services at Ohio Western Reserve and Woodland National Cemetery, which is being 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 .