B08_Past_Performance_Survey.doc

DOC document 35 KB Posted

Attached to
Fire Alarm Maintenance Services - CA Federal contract opportunity
Solicitation number
140FC224R0019
Issued by
Department of the Interior Fish and Wildlife Service

About this file

This document is a Past or Present Performance Survey to be completed by a company bidding on a federal contract opportunity. The survey requests information on up to three completed or in-progress contracts, including the contracting agency or company, contract number, amount, project details, the company's role, subcontracted work, and any quality control or safety issues encountered. The company is also asked to provide general business information, such as its organization type, leadership, and SAM.gov Unique Entity ID. The survey appears to be related to a solicitation for Fire Alarm Maintenance Services in California, issued by the U.S. Department of the Interior Fish and Wildlife Service. The solicitation number is 140FC224R0019 and it was recently amended to be a full and open competition.

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B08_Bid_Schedule.pdf PDF
B08_Wages.pdf PDF
B08_Fire_Alarm_Components.pdf PDF

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Text version

PAST OR PRESENT PERFORMANCE SURVEY

Your Company Name:

Street Address:

City, State and ZIP Code:

1. GENERAL BUSINESS INFORMATION

Date Firm Organized/Established:

Company President:

Vice President:

SAM.gov Unique Entity ID:

Is company a ; Partnership [ ] Separate entity [ ] Division [ ] N/A [ ]

2. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS

Complete and submit the information requested on page 2-4 below on prime contracts or subcontracts completed or in progress. Government contracts are preferred; but, if you have not performed Government contracts, indicate any other contracts completed or in progress.

a. First Contract:

Contracting Agency or Company:

Point of Contact:

Telephone Number:

Contract Number:

Contract/Subcontract Amount: $

Project Title and Location:

General Scope of Project:

Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:

Describe any Work You Subcontracted to Others:

Total Amount of Subcontract(s): $

Period of Performance: days Scheduled Completion Date:

Actual Completion Date:

Percentage of Work Completed:

Were You Terminated?

Did you use a Quality Control Plan? _________ Did you use a Safety Plan?_______________

Quality Control or Safety Problems encountered (if any):

How were the problems resolved?

b. Second Contract:

Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:

c. Third Contract:

Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:

4. Certification of Past Performance Information:

Type or Print Information

Name of Survey Preparer _______________________________Phone:_________________

E-Mail;___________________________

Title__________________________________________

Signature______________________________________

Date__________________________________________

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