B08_Past_Performance_Questionnaire.docx
DOCX document 25 KB Posted
- Attached to
- BASIN VIEW PIPELINE PHASE II Federal contract opportunity
- Solicitation number
- 140L3626Q0009
About this file
This is a Past Performance Questionnaire template that must be completed and submitted with quotes for the Basin View Pipeline Phase II solicitation issued by the Department of the Interior Bureau of Land Management under solicitation number 140L3626Q0009.
The questionnaire requires contractors to provide company information including business type, SAM Entity Number (UEI), and contact details, followed by documentation of relevant experience and contract history. Respondents must disclose years of relevant experience for both the individual and company, years of experience as prime and subcontractors, and detailed information on projects completed within the last three years that are relevant to the solicitation's requirements, including contract numbers, amounts, project types, completion dates, and reference contacts. Additionally, contractors must list all concurrent contract commitments that will run during performance of the requested work, identify any instances of incomplete work, and indicate whether any completed work was backed by performance bonds. The questionnaire concludes with a certification section requiring the authorizing official's signature, printed name, title, and date, confirming the accuracy and completeness of all statements provided.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140L3626Q0009_Amd_0002.pdf | ||
| B09_Amendment_0002_Questions_and_Answers_Doc_0002.pdf | ||
| Sol_140L3626Q0009_Amd_0001.pdf | ||
| B03_WD_MT20260076_Dated_1_2_26.pdf | ||
| A04_Specifications_-_Basin_View_Pipeline_Phase_II.pdf | ||
| Sol_140L3626Q0009.pdf | ||
| Schedule_of_Items_-_Basin_View_Pipeline_Phase_II.pdf | ||
| A06_Maps_Drawings_Basin_View_Pipeline_Phase_II.pdf |
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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 .