B08_Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- HVAC Unit Replacements - MD Federal contract opportunity
- Solicitation number
- 140FC224R0023
About this file
This document is a Past or Present Performance Survey for a company to provide information on previous contracts they have completed or are currently working on. The survey requests details on up to three contracts, including the contracting agency or company, point of contact, contract number, contract/subcontract amount, project details, the company's role, any subcontracted work, period of performance, scheduled and actual completion dates, percentage of work completed, whether the company was terminated, and whether they used quality control and safety plans. The company is also asked to describe any quality control or safety problems encountered and how they were resolved. The survey concludes with a certification section for the preparer to sign.
The related federal contract opportunity is for HVAC Unit Replacements - MD, solicited by the Department of the Interior Fish and Wildlife Service. No additional details are provided about the specific requirements, response dates, award information, or any set-asides.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140FC224R0023_Amd_0001.pdf | ||
| SOW_VC.pdf | ||
| B08_Bid_Schedule.pdf | ||
| Sol_140FC224R0023.pdf | ||
| B03_Wages.pdf | ||
| SOW_Duplex.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 .