B08_Past_Performance_Survey.pdf
PDF 128 KB Posted
- Attached to
- Roof Repair OH
- Solicitation number
- 140FC226R0012
About this file
This is a Past or Present Performance Survey template used to collect information about a contractor's experience with completed or in-progress prime contracts or subcontracts.
The survey requests general business information including company name, address, date established, company leadership, and Dun & Bradstreet number. The primary section requires detailed documentation of up to three contracts or subcontracts, with government contracts preferred but other commercial contracts acceptable if government experience is unavailable. For each contract, respondents must provide the contracting agency or company name, point of contact with telephone number, contract number, contract amount, project title and location, and a general scope of project description. The survey also requires documentation of the company's role (prime, joint venture, or subcontractor), specific work performed, any subcontracted work with amounts, period of performance in days, scheduled and actual completion dates, percentage of work completed, and termination status. Quality control and safety procedures are addressed, including whether quality control and safety plans were implemented, any problems encountered, and how those problems were resolved. The form concludes with a certification section requiring the survey preparer to provide their name, phone number, email, title, signature, and date. This template allows organizations to evaluate contractor past performance and capability before awarding new contracts.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140FC226R0012_Amd_0002.pdf | ||
| B09_Q_A_0002.docx | DOCX document | |
| Sol_140FC226R0012_Amd_0001.pdf | ||
| B08_Bid_Schedule.pdf | ||
| Sol_140FC226R0012.pdf | ||
| B08_Wages.pdf | ||
| B08_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:
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:
Point of Contact: Telephone Number:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: %
c. Third Contract:
Point of Contact: Telephone Number:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: %
4. Certification of Past Performance Information:
Type or Print Information
Name of Survey Preparer _______________________________Phone:_________________
E-Mail;___________________________
Title__________________________________________
Signature______________________________________
Date__________________________________________
| PAST OR PRESENT PERFORMANCE SURVEY |
| 1. GENERAL BUSINESS INFORMATION |
| 2. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS |
File details come from the government source that posted it. Updated .