B08_-_Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- NC-MACKAY ISLAND NWR-BPA SETUP BULK FUEL
- Solicitation number
- 140FS325Q0092
About this file
The document is a Past Performance Survey form designed for contractors to provide detailed information about their previous contract work. The form requires companies to submit comprehensive details about up to three contracts, including agency or company name, contract number, contract amount, project location, scope, role (prime, joint venture, or subcontractor), period of performance, completion status, and quality control/safety plan information.
The survey collects critical business and performance data, with sections for general business information, contract details, and a certification of past performance. Companies must provide contact information, contract specifics, percentage of work completed, termination status, and any quality control or safety problems encountered. The form appears to be a standard tool for evaluating a contractor's past performance, likely to be used in assessing qualifications for future federal contract opportunities, such as the NC-MACKAY ISLAND NWR-BPA SETUP BULK FUEL solicitation (140FS325Q0092) with the Department of the Interior Fish and Wildlife Service.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| B03_-_Service_Contract_Act_WD_2015-4341.pdf | ||
| B08_-_SOW_Bulk_Fuel_Mackay_Island_2025.pdf | ||
| Sol_140FS325Q0092.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 Identifier (UEI):
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 .