B08_-_Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- NC-ALLIGATOR RIV NWR BULK FUEL BPA
- Solicitation number
- 140FS325Q0093
About this file
The document is a Past Performance Survey form designed to collect detailed information about a company's contract history, specifically for the NC-Alligator River National Wildlife Refuge Bulk Fuel Blanket Purchase Agreement (BPA) solicitation. The comprehensive survey requests extensive details about three prior contracts, including contracting agency, project scope, contract amount, performance period, role (prime/subcontractor), completion status, and quality control/safety plan implementation.
The survey requires companies to provide granular information such as company organization details, business structure, SAM.gov Unique Entity Identifier, contract specifics (including percentage completed, termination status, and problem resolution), and a certification section with the survey preparer's contact information and signature. The form is structured to help the Department of the Interior Fish and Wildlife Service evaluate a potential contractor's past performance and capability to execute the bulk fuel BPA for the Alligator River National Wildlife Refuge.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| B08_-_SOW_Bulk_Fuel_NC_Coastal_Wildlife_Complex_2025.pdf | ||
| B03_-_Service_Contract_Act_WD_2015-4407.pdf | ||
| Sol_140FS325Q0093.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 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 .