B08_Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- Site Work and Concrete Slab Installation - Maine Federal contract opportunity
- Solicitation number
- 140FC224R0015
About this file
This document is a Past or Present Performance Survey that requests information from a company about their previous or ongoing contracts. It asks for details on up to three contracts, including the contracting agency or company, contract number, scope of work, the company's role (prime, joint venture, or subcontractor), any subcontracted work, contract dates and completion information, quality control and safety plans used, and any problems encountered. The survey also requests general business information about the company, such as its organizational structure, SAM.gov Unique Entity ID, and contact information for the survey preparer.
This Past Performance Survey is related to the federal contract opportunity for "Site Work and Concrete Slab Installation - Maine" solicited by the Department of the Interior Fish and Wildlife Service under Solicitation Number 140FC224R0015. The survey provides the government with information about the company's relevant past or current contract experience, which may be used to evaluate their qualifications for the Maine site work and concrete slab installation project.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140FC224R0015_Amd_0001.pdf | ||
| Q_A_0001.docx | DOCX document | |
| Bid_Schedule.pdf | ||
| Sol_140FC224R0015.pdf | ||
| Wages.pdf | ||
| SOW.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 .