B08_Past_Performance_Survey.doc

DOC document 35 KB Posted

Attached to
Roof Replacement - MD
Solicitation number
140FC225R0018
Issued by

About this file

The document is a Past Performance Survey form designed to collect detailed information about a company's previous contracts and project experiences. The survey requests comprehensive data about three separate contracts, including contract amounts, project scopes, performance roles (prime, joint venture, or subcontractor), completion dates, and quality control and safety plan details. Companies are asked to provide information about their organizational structure, contact details, and SAM.gov Unique Entity ID, with fields to document contracting agency, project title, location, work performed, subcontractor details, and any performance challenges or terminations.

This specific survey appears to be associated with a Department of the Interior Fish and Wildlife Service solicitation (Solicitation Number: 140FC225R0018) for a Roof Replacement project in Maryland. The form serves as a mechanism for potential contractors to demonstrate their past performance capabilities and project management experience, which would likely be evaluated as part of the contract award decision-making process. The survey provides a structured approach for companies to showcase their professional history, quality control practices, and ability to successfully complete similar construction or service-related projects.

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B08_Q_A_1_0001.pdf PDF
Sol_140FC225R0018_Amd_0001.pdf PDF
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Sol_140FC225R0018.pdf PDF
B08_Quote_Shedule.pdf PDF
B08_SOW.pdf PDF
B08_Q_A_Solicitation.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 .