B08_Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- Septic and Plumbing Replacement Services - OK Federal contract opportunity
- Solicitation number
- 140FC225R0021
About this file
The file is a Past Performance Survey document designed to collect detailed information about a company's contract history and performance. The survey requires businesses to provide comprehensive details about up to three contracts, including contracting agency, contact information, contract amount, project scope, role (prime, joint venture, or subcontractor), performance period, completion status, and quality control/safety plan implementation.
The form seeks to capture critical performance metrics such as percentage of work completed, potential terminations, subcontractor details, and any quality control or safety problems encountered during contract execution. The survey concludes with a certification section where the preparer must provide their contact information and sign the document, affirming the accuracy of the submitted information. This document appears to be part of a past performance evaluation process for a specific federal contract opportunity (Solicitation Number: 140FC225R0021) for Septic and Plumbing Replacement Services with the Department of the Interior Fish and Wildlife Service.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140FC225R0021.pdf | ||
| B08_SOW.pdf | ||
| B08_Wages.pdf | ||
| B08_Drawings.pdf | ||
| B08_Specs_v2.pdf | ||
| B08_Bid_Schedule.xlsx | XLSX spreadsheet |
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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:
Dun & Bradstreet Number:
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 .