B08_Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- Rehabilitate Wells - MA Federal contract opportunity
- Solicitation number
- 140FC224R0022
About this file
This document is a Past or Present Performance Survey that requests detailed information about the company's prior contract experience. The survey asks the company to provide information on up to three contracts or subcontracts that have been completed or are in progress, including the contracting agency, contract number, project title and scope, the company's role, period of performance, any quality control or safety issues encountered, and how those issues were resolved. The company is also asked to provide general business information such as date organized, key personnel, and entity type. This survey is intended to assess the company's past performance as part of a federal contract opportunity with Solicitation Number 140FC224R0022 for "Rehabilitate Wells - MA" issued by the Department of the Interior Fish and Wildlife Service.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140FC224R0022.pdf | ||
| A04_SOW.pdf | ||
| B08_Quote_Schedule.pdf | ||
| B08_Wages.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 .