Attachment D -- Past Performance Questionnaire.pdf
PDF 128 KB Posted
- Solicitation number
- QSE--36C78626R50141
About this file
This document is a Past Performance Questionnaire template used to evaluate contractor qualifications for federal contract opportunities.
Contractors must submit at least three (3) contract references demonstrating comparable size, complexity, and scope to the solicited contract. All referenced contracts must have been completed or be currently active within the last five years, with one contract reference provided per form. The questionnaire prioritizes National Cemetery Administration (NCA) contracts, requiring these to be listed first if applicable, followed by non-NCA contracts. The form requires contractors to provide comprehensive information for each reference including: contract number, contractor name and address, telephone and email contact information, contract type, dollar value, award date and completion status, subcontracting details and extent, percentage of work performed directly by the contractor, and a detailed description of supplies or services provided including work location and relevance to the current solicitation. Additionally, contractors must supply the reference contact person's name, position, address, telephone number, and email address for verification purposes. The form is reproducible and may be duplicated as needed to accommodate multiple contract references.
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Other files
| File | Type | Posted |
|---|---|---|
| Performance Work Statement Marion National Cemetery.docx | DOCX document | |
| Attachment A Price Schedule.xlsx | XLSX spreadsheet | |
| 36C78626R50141 0001 Amendment.docx | DOCX document | |
| Attachment F Davis Bacon Act.pdf | ||
| Performance Work Statement Grounds Maintenance.pdf | ||
| Attachment E - SCA WD 2015-4813 Wage Determination.pdf | ||
| Section D Instructions to Offerors Evaluations Addendum.docx | DOCX document | |
| Attachment C Subcontractor Participation Document.docx | DOCX document | |
| Attachment A Price Schedule.xlsx | XLSX spreadsheet | |
| Solicitation.pdf | ||
| Attachment B Quality Assurance Surveillance Plan.docx | DOCX document |
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Text version
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 .