B08_Attachment_4_PPQ_Conserve_Art_EDIS.pdf
PDF 125 KB Posted
- Attached to
- EDIS CONSERVE HIGH PRIORITY ART Federal contract opportunity
- Solicitation number
- 140P4524Q0040
About this file
This document is a Past Performance Questionnaire (PPQ) for the EDIS Conserve Art federal contract opportunity, Solicitation Number 140P4524Q0040.
The PPQ requests information about the contractor's past experience, including the number of years the company has in the types of work requested, the number of years the company has as a prime or subcontractor, and a list of 3 relevant projects completed within the last 5 years. The contractor must provide reference contact information for each project. The contractor must also indicate if they have ever failed to complete any awarded work or if work has been completed by a performance/payment bond. The PPQ must be completed and returned to the Point of Contact, Mary Hallmon, at mary_hallmon@nps.gov. This PPQ supports the EDIS Conserve High Priority Art contract opportunity, which is being solicited by the Department of the Interior National Park Service Northeast Region.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P4524Q0040_Amd_0001.pdf | ||
| Questions_and_Answers_0001.pdf | ||
| Hot_Work-Fire_Watch__0001.pdf | ||
| Hot_work_permit_Glenmont_0001.pdf | ||
| B08_Attachment_1_SOW_Conserve_Art_EDIS.pdf | ||
| B08_Attachment_3_WD_2015-4211_Conserve_Art_EDIS.pdf | ||
| Sol_140P4524Q0040.pdf | ||
| B08_Attachment_5_Tech_Ques_Conserve_Art.pdf | ||
| B08_Attachment_2_IPP__Terms___Conditions_Conserve_Art_EDIS.pdf | ||
| B08_Attachment_6_Price_Schedule_Conserve_Art_EDIS.pdf |
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Text version
140P4524Q0040
POINT OF CONTACT: MARY HALLMON mary_hallmon@nps.gov EDIS Conserve Art
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: mary_hallmon@nps.gov mailto:mary_hallmon@nps.gov
Type of Business:
File details come from the government source that posted it. Updated .