B08_Past_Performance_Survey.doc
DOC document 35 KB Posted
- Solicitation number
- 140FC224R0017
About this file
This document is a Past or Present Performance Survey that requests information about the respondent's company and up to three completed or in-progress contracts. The survey requests details such as the contracting agency, contract number, contract/subcontract amount, project scope, the company's role, subcontracted work, performance metrics, and any quality control or safety problems encountered.
The information in this survey is intended to support the respondent's qualifications for the federal contract opportunity titled "Demo, Foundation Repair, and Flooring Installation - AZ", solicitation number 140FC224R0017. This opportunity is being issued by the Department of the Interior Fish and Wildlife Service and involves demolition, foundation repair, and flooring installation work.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Sol_140FC224R0017_Amd_0001.pdf | ||
| Sol_140FC224R0017.pdf | ||
| B03_Wages.pdf | ||
| B08_SOW.pdf | ||
| B08_Photos.pdf | ||
| B09_Bid_Schedule.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 .