B08 Attachment 03 Past Performance Questionnaire InksKettles.docx
DOCX document 21 KB Posted
- Attached to
- TX-INKS DAM NFH-REPLACE KETTLES 8 & 9 Federal contract opportunity
- Solicitation number
- 140F0121R0036
About this file
This document contains a technical/past performance questionnaire for a construction contractor. The questionnaire requests information on the contractor's general business details, past experience with similar construction projects including building concrete fish kettles and water systems, ability to obtain bonding for projects of this magnitude, and registration to perform work in the state. It also asks for details on three past or current prime contracts or subcontracts, including contracting agency, point of contact, contract value, scope of work, role, subcontracted work if any, schedule and completion details, and any quality or safety issues encountered and how they were resolved. The related federal contract opportunity is for replacing fish kettles numbers 8 and 9 at TX-INKS Dam National Fish Hatchery, solicited by the Department of the Interior Fish and Wildlife Service. Contractors are requested to provide this completed questionnaire to be evaluated for their past performance and experience on similar projects for consideration for the federal contract award.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140F0121R0036_Amd_0001.pdf | ||
| Sol_140F0121R0036.pdf | ||
| B08 Attachment 04 Inks Kettles 8 9 Bid Sched.pdf | ||
| B03 Attachment 05 DOL Wage TX20210087 Heavy.pdf | ||
| A06 Attachment 02 Inks Replace Kettles 8 9 Drawings .pdf | ||
| A04 Attachment 01 Inks Replace Kettles 8 9 Specs.pdf |
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Text version
Attachment 3 page 4 of 4
TECHNICAL/PAST AND PRESENT PERFORMANCE QUESTIONNAIRE
Your Company Name:
Street Address:
Email Address:_____________________________________ City, State and ZIP Code:
1. GENERAL BUSINESS INFORMATION
Date Firm Organized/Established:
| Company President: | Vice President: | |
| Dun & Bradstreet Number: | __ |
Is company; Sole Propriety [ ] Partnership [ ] Corporation [ ] Division [ ] N/A [ ]
2. PAST EXPERIENCE
a. Provide at least three examples of past experience of Construction Contractor for building concrete fish kettles, water piping supply and drainage systems, water control structures, earthwork, demolition, and other work similar to that shown in the plans and specifications for this project.
b. Provide proof of ability to obtain bonding for the magnitude of this contract.
c. Provide proof of state registration of General Contractor and specialty trade contractors for performing work on this contract.
3. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS
Complete and submit the information requested on page 2-4 below on prime contracts or subcontracts completed or in progress. Government contracts are preferred; but, if you have not performed Government contracts, indicate any other contracts completed or in progress.
a. First Contract:
Contracting Agency or Company:
| Point of Contact: | Telephone Number: | |
| Contract Number: | Contract/Subcontract Amount: $ |
Project Title and Location:
General Scope of Project:
Your Role (General Contractor [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $ Period of Performance: days Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: % Were You Terminated?
Were You Assessed Liquidated Damages? (If the answer to either Question is “Yes”, Explain:
Did you use a Quality Control Plan? _________ Did you use a Safety Plan?_______________ Quality Control or Safety Problems encountered (if any):
How were the problems resolved? _____
b. Second Contract:
Contracting Agency or Company:
| Point of Contact: | Telephone Number: | |
| Contract Number: | Contract/Subcontract Amount: $ |
Project Title and Location:
General Scope of Project:
Your Role (General Contractor [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $ Period of Performance: days Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: % Were You Terminated?
Were You Assessed Liquidated Damages? (If the answer to either Question is “Yes”, Explain:
Did you use a Quality Control Plan? _________ Did you use a Safety Plan?_______________ Quality Control or Safety Problems encountered (if any):
How were the problems resolved? _____
c. Third Contract:
Contracting Agency or Company:
| Point of Contact: | Telephone Number: | |
| Contract Number: | Contract/Subcontract Amount: $ |
Project Title and Location:
General Scope of Project:
Your Role (General Contractor [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $ Period of Performance: days Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: % Were You Terminated?
Were You Assessed Liquidated Damages? (If the answer to either Question is “Yes”, Explain:
Did you use a Quality Control Plan? _________ Did you use a Safety Plan?_______________ Quality Control or Safety Problems encountered (if any):
How were the problems resolved? _____
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