B08_Past_Performance_Survey.doc

DOC document 35 KB Posted

Attached to
HVAC REPLACEMENT - MD Federal contract opportunity
Solicitation number
140FC224R0024
Issued by
Department of the Interior Fish and Wildlife Service

About this file

This document appears to be a Past or Present Performance Survey that a company would complete to provide information on their previous or ongoing contracts. The survey requests details such as the contracting agency or company, contract number, scope of work, the company's role (prime, joint venture, or subcontractor), whether quality control and safety plans were used, and any issues encountered. The survey also asks for general business information about the company, including when it was established, leadership, and its business structure (partnership, separate entity, division, etc.). The survey is likely used to assess the company's past performance and capabilities for a potential future federal contract opportunity.

The related federal contract opportunity is for the HVAC Replacement - MD project, solicited by the Department of the Interior Fish and Wildlife Service. The solicitation number is 140FC224R0024.

View the file

Other files for this federal contract opportunity

Other files attached to HVAC REPLACEMENT - MD, newest first.
File Type Posted
Sol_140FC224R0024_Amd_0001.pdf PDF
Sol_140FC224R0024.pdf PDF
B03_Wages.pdf PDF
B08_Quote_schedule.pdf PDF
B08_SOW.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 .