B08_Past_Performance_Questionnaire.doc

DOC document 47 KB Posted

Attached to
WHITE SANDY CAMPGROUND WATER FILTRATION Federal contract opportunity
Solicitation number
140L3626Q0001
Issued by
Department of the Interior Bureau of Land Management

About this file

This document is a Past Performance Questionnaire for the White Sandy Campground Water Filtration project solicited by the Bureau of Land Management (Solicitation Number: 140L3626Q0001). The questionnaire requires potential contractors to provide detailed information about their relevant experience, including years of contracting experience as a prime or sub-contractor, past project details from the last three years, and current contract commitments.

Key requirements include documenting projects similar to the water filtration solicitation, with specific emphasis on relevance to the technical complexity and duties of the current project. Contractors must disclose any previous failures to complete work or instances of performance bonds being utilized. The document mandates a comprehensive self-certification of the provided information, with the contractor's authorized representative signing and verifying the accuracy of all statements submitted with their quote.

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Sol_140L3626Q0001_Amd_0002.pdf PDF
B09_Q_A_Amendment_0002_0002.pdf PDF
Sol_140L3626Q0001_Amd_0001.pdf PDF
BID_SCHEDULE_Corrected_0001.docx DOCX document
B03_WD_MT20250040_Date_12_05_2025.pdf PDF
A06_SPECS.pdf PDF
A04_SOW_White_Sandy_Water_Filtration_w-Attachment.pdf PDF
Sol_140L3626Q0001.pdf PDF
A06_DRAWINGS.pdf PDF
BID_SCHEDULE.docx DOCX document

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Text version

Past Performance Questionnaire

(THIS MUST BE COMPLETED AND SUBMITTED WITH YOUR QUOTE)

Contractor Name:______________________________________________________________________ Address:__________________________________ City:_______________ State: _____ Zip:________ Phone Number: ____________________ SAM Entity Number (UEI): ____________________________ Type of Business:

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

1. How many years of RELEVENT experience do you have and/or your company have regarding the types of work requested by this solicitation?

-You__________________ -Your Company__________________

2. How many years of experience in contracting does your company have as a Prime Contractor and/or a Sub-Contractor:

-Prime_________________ -Sub-Contractor__________________

3. List below projects your business has completed within the last three years. Include the contract number and amount; the type of project; the date completed and a reference contact name and telephone number for each project.

Note: Past Projects must be relevant to the requirements of this solicitation in terms of duties performed, and the technical/complexity aspects of the duties required. Projects listed that are not relevant to this solicitation and its requirements will not be considered. (attach separate page if additional room is needed)

4. List all contract commitments you have that will run concurrently with the work requested in this solicitation. Include name, address, telephone number, start and finish date.

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

6. Has work ever been completed by performance 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 Bureau of Land Management with any information needed to verify my capability to perform this project.

Certifying Official Name and Title :

Authorized Signature (Sign in Ink):

Date:

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