B08_Past_Performance_Questionnaire.docx
DOCX document 29 KB Posted
- Attached to
- LEO VEHICLE UPFITTING AND LEO DECOMMISSION
- Solicitation number
- 140L3626Q0010
About this file
This is a Past Performance Questionnaire that contractors must complete and submit with their quote for a Bureau of Land Management solicitation regarding LEO vehicle upfitting and decommissioning (Solicitation Number 140L3626Q0010).
The questionnaire requires contractors to provide company information including legal business structure, SAM Entity Number (UEI), and contact details. Contractors must document their relevant experience in years for both individual personnel and the company, specify their history as prime contractors and subcontractors, and list projects completed within the last three years with corresponding contract numbers, amounts, project types, completion dates, and reference contacts. The form emphasizes that listed projects must be relevant to the solicitation's requirements in terms of duties performed and technical/complexity aspects; irrelevant projects will not be considered. Contractors must also disclose all concurrent contract commitments that will overlap with the requested work, identify whether they have failed to complete any awarded work, and indicate whether any work has been completed under performance bond. The document requires certification by an authorized official that all statements are complete and correct, with the certifying official's name, title, signature in ink, and date. This questionnaire serves as an evaluation tool for assessing contractor capability and past performance relevant to the vehicle upfitting and decommissioning work.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140L3626Q0010.pdf | ||
| Schedule_of_Items.docx | DOCX document | |
| A04_SOW.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 .