B08_Past_Performance_Survey.doc

DOC document 35 KB Posted

Attached to
Exhibit Design with Alternates - NY Federal contract opportunity
Solicitation number
140FC224R0002
Issued by
Department of the Interior Fish and Wildlife Service

About this file

This document is a past performance survey template for a contractor to provide information on previous relevant contracts for a federal exhibit design solicitation from the Department of the Interior Fish and Wildlife Service. The survey requests general business information and details on up to three past or present contracts, including contracting agency, point of contact, contract number, value, title, scope of work, role (prime or subcontractor), any subcontracted work, period of performance, completion dates, quality control and safety plans used, and any issues encountered and resolved.

The related federal contract opportunity is solicitation number 140FC224R0002 for exhibit design services with alternates in New York from the Department of the Interior Fish and Wildlife Service.

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Other files for this federal contract opportunity

Other files attached to Exhibit Design with Alternates - NY, newest first.
File Type Posted
Sol_140FC224R0002_Amd_0002.pdf PDF
Q_A_0002.docx DOCX document
QA_0002.docx DOCX document
Sol_140FC224R0002_Amd_0001.pdf PDF
Provisions___Clauses_0001.pdf PDF
Floor_Plan_first_floor.pdf PDF
B08-Bid_Schedule.pdf PDF
Interpretive_Experience_Plan_LINWRC.pdf PDF
SOW_with_alternates.docx DOCX document
Sol_140FC224R0002.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 .