C04_ATTCH 3_Past Performance Questionnaire.pdf

This is a Past Performance Questionnaire form used by the USDA Forest Service for federal contract solicitations (Reference FSH 6309.31 and 41 USC 1).

The form requires contractors to provide comprehensive past performance information including contractor name, address, and telephone number; the office to which the submission is made; and business entity type (company, corporation, partnership, individual, or non-profit organization). Contractors must disclose the number of years of experience in the line of work contemplated by the solicitation and specify years of contracting experience as both prime contractors and subcontractors. The form includes a detailed project history section requiring contractors to list all projects completed within the past three years, including contract amount, project type, completion date, and contact information for project owners or references. The questionnaire also requires disclosure of any work that the contractor failed to complete, with explanation of the circumstances. Additional remarks and clarifications can be provided in Box 8 with attached sheets if necessary. The form concludes with a certification statement whereby the certifying official attests under penalty of perjury that all statements are complete and correct and that named references are authorized to provide verification information to the Forest Service regarding the contractor's capability to perform the project. The certifying official must sign the form in ink and provide the date of certification.