B08_Attachment_2_PPQ_Vault_Toilets.pdf

PDF 125 KB Posted

Attached to
FRST - VAULT TOILETS Federal contract opportunity
Solicitation number
140P4525Q0052
Issued by
Department of the Interior National Park Service Northeast Region

About this file

This document is a Past Performance Questionnaire (PPQ) for a First Vault Toilet Building Request for Quotation (RFQ) issued by the National Park Service Northeast Region, solicitation number 140P4525Q0052. The form requires potential contractors to provide detailed information about their business and previous project experience, including years of contracting experience, business type, and a comprehensive listing of three projects completed within the last five years. Contractors must supply specifics such as contract value, work type, agency/firm details, contact information, project duration, and a brief description of duties.

The PPQ is designed to assess a contractor's capability to perform the proposed project by evaluating their past performance, with sections requesting information about prior work similar in size and complexity to the current solicitation. Contractors must certify the accuracy of their statements and understand that the references they provide may be contacted to verify their performance capabilities. The form includes fields for documenting potential issues such as incomplete work or performance/payment bond claims, and requires a signature from an authorized company representative to validate the submitted information.

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Other files for this federal contract opportunity

Other files attached to FRST - VAULT TOILETS, newest first.
File Type Posted
Sol_140P4525Q0052_Amd_0001.pdf PDF
Sol_140P4525Q0052.pdf PDF
B08_RFQ_Vault_Toilet_FRST.pdf PDF
B08_Attachment_1_SOW_Vault_Toilets_FRST.pdf PDF
B08_Attachment_3_Technical_Questionnaire_FRST.pdf PDF

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Text version

FRST VAULT TOILET BUILDING REQUEST FOR QUOTATION (RFQ) 140P4525Q0052

POC: Mary Hallmon at mary_hallmon@nps.gov

Past Performance Questionnaire

Contractor Name: Duns #

Address: City: State: Zip:

Phone Number: Fax Number:

Type of Business:

_____Company ____Co-partnership ______Corp._____ Individual ____Non-Profit Org.

How many years do you or your firm has in the types of work requested by this solicitation?

_________________year(s).

How many years experience in contracting have you or your business had as a Prime Contractor? _________year(s) and/or Sub-contractor: _______(years)

List below the three (3) projects your business has completed within the last five (5) years of the proposed service requested by this solicitation, include the contract amount, the type of project, date completed and your reference contact name, address, email address and telephone number: (SEE ATTACHED SHEET)

Have you ever failed to complete any work awarded to you? ______Yes _____No

Has work ever been completed by performance/payment bond? ______Yes ______No

If “Yes” to either item, specify location and reason:

CERTIFICATION

I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the National Park Service with any information needed to verify my capability to perform this project.

Certifying Official Name and Title:

Signature (Sign in Ink):

Date:

PAST EXPERIENCE & REFERENCES

REFERENCES:

This form must be completed by all quoters in order to receive consideration. If additional space is needed, this form may be duplicated as necessary. List any current or past experience which is pertinent to this position. Past performance and experience may be a combination of up to two contracts similar in size and complexity to those stated in the Technical Provisions and work experience in similar positions, performing duties similar in nature and complexity to the required services. Include (separately) details of any training which would enable you to better perform the work outlined in the specifications. Reference information should include a point-of-contact's name, telephone number and e-mail address. (IF

HANDWRITTEN, MUST BE LEGIBLE)

Experience No. 1

Contract/Work type: ____________________________________________

Contract Number (if applicable): ____________________________________________

Total Contract Value: __________________________________________

Agency/firm for who work was performed: ____________________________________________

Contact person at the site: Telephone #: ____________________________________________

E-mail address: ____________________________________________

Month/Year work began: Month/Year work ended: ________________________________________

Brief description of duties:

Experience No. 2

Contract/Work type: ____________________________________________

Contract Number (if applicable): ____________________________________________

Total Contract Value: __________________________________________

Agency/firm for who work was performed: ____________________________________________

Contact person at the site: Telephone #: ____________________________________________

E-mail address: ____________________________________________

Brief description of duties

Experience No. 3

Contract/Work type: ____________________________________________

Contract Number (if applicable): ____________________________________________

Total Contract Value: __________________________________________

Agency/firm for who work was performed: ____________________________________________

Contact person at the site: Telephone #: ____________________________________________

E-mail address: ____________________________________________

Brief description of duties:

Return form to:

Email: linda_richardson@nps.gov mailto:linda_richardson@nps.gov

Type of Business:

File details come from the government source that posted it. Updated .