Attachment D -- Past Performance Questionnaire Grounds Maintenance.pdf

PDF 32 KB Posted

Attached to
Amendment 36C78625Q50037 0001 Grounds Maintenance Keokuk National Cemetery -- S208
Solicitation number
QSE--36C78625Q50037
Issued by

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Written by GovTribe AI ·

This is a Past Performance Questionnaire template for contractors to provide details about their previous contracts. The form requires contractors to list at least three contracts completed within the last five years that are comparable in size, complexity, and scope to the contract being evaluated. The questionnaire is specifically associated with a grounds maintenance contract opportunity at Keokuk National Cemetery for the Department of Veterans Affairs National Cemetery Administration.

The form includes fields for contract number, contractor information, contract type and value, award date, subcontracting details, percentage of work completed by the contractor, description of services provided, and contact information for references. Contractors are instructed to list any National Cemetery Administration (NCA) contracts first, followed by non-NCA contracts. The form can be duplicated to provide multiple contract references, with one contract reference per form.

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Other files

File Type Posted
Attachment A - Price-Cost Schedule Keokuk National Cemetery Grounds Maintenance.xlsx XLSX spreadsheet
Attachment D -- Past Performance Questionnaire Grounds Maintenance.pdf PDF
Attachment C - Wage Determination 2015-5001 SCA.pdf PDF
Attachment E - Wage Determination Davis Bacon Act IA20240061.pdf PDF
3678625Q50037 0001 Amendment to solicitatin.docx DOCX document
Attachment H- NCA National Shrine standard.pdf PDF
Attachment B- Keokuk Grounds Maintenance Performance Work Statement (PWS).docx DOCX document
36C78625Q50037 Combined Synopsis Solicitation Keokuk Grounds Maintenance.docx DOCX document
Attachment F Headstone Raise and Realignment Guidance.pdf PDF
Attachment G Subcontractor Participation Document.pdf PDF
Attachment I Keokuk National Cemetery Map.pdf PDF
Attachment A - Price-Cost Schedule Keokuk National Cemetery Grounds Maintenance.xlsx XLSX spreadsheet
Attachment F Headstone Raise and Realignment Guidance.pdf PDF
Attachment E - Wage Determination Davis Bacon Act IA20240061.pdf PDF
Attachment I Keokuk National Cemetery Map.pdf PDF
36C78625Q50037 Combined Synopsis Solicitation Keokuk Grounds Maintenance.docx DOCX document
Attachment B- Keokuk Grounds Maintenance Performance Work Statement (PWS).docx DOCX document
Attachment H- NCA National Shrine standard.pdf PDF
Attachment G Subcontractor Participation Document.pdf PDF
Attachment C - Wage Determination 2015-5001 SCA.pdf PDF
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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 .