C04c_Attachment_4_ Exhibit A Performance Relevancy Questionnaire_12444026Q0088.pdf
PDF 107 KB Posted
- Solicitation number
- 12444026Q0088
- Issued by
-
Department of Agriculture Forest Service
About this file
This is a Performance Relevancy Questionnaire template used by the U.S. Forest Service to evaluate contractor qualifications and past performance on federal contracts.
The questionnaire requires offerors to provide comprehensive information about their experience and capability to perform work similar to the solicitation scope. Contractors must submit up to five completed projects within the last three years, including contract amounts, project types, completion dates, and points of contact for verification. The form also requests disclosure of all concurrent contractual commitments, including contract numbers, dollar amounts, percentage completion, and expected completion dates. Offerors must indicate whether they have ever failed to complete awarded work or had work completed by performance bond, with explanation of any affirmative responses. For each project listed, contractors must provide detailed specialized experience information on separate sheets addressing specific work elements performed by the firm, subcontractor roles and whether those subcontractors will be used on Forest Service projects, technical areas relevant to the solicitation, and current contact information for the government contracting officer or inspector including phone, facsimile, and email. The questionnaire also requests years of experience in the relevant line of work and experience as both prime and subcontractors. A certification statement signed by an authorized official affirms the accuracy and completeness of all submitted information and authorizes the Forest Service to verify the contractor's capability through named references.
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Text version
Exhibit A: PERFORMANCE RELEVANCY QUESTIONNAIRE
Provide the following information requested in this format for each of the projects/contracts being described. Projects may be ongoing and cannot have been completed any later than 3 years prior to the to this issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify. Use as much space as required. OFFEROR SHOULD PLACE
THEIR NAME ON TOP OF EACH QUESTIONNAIRE PAGE.
INSTRUCTIONS: If extra space is needed use the reverse. Mark "X" in appropriate boxes.
CONTRACTOR NAME, ADDRESS & TELEPHONE
How many years do you or your firm have in the line of work contemplated by this solicitation ? How many years’ experience in contracting have you or your business had as a (a) prime contractor and/or (b) sub-contractor ?
PART 1 - PAST / CURRENT PROJECTS
List below up to 5 projects your business has completed within the last 3 years similar in scope to the solicitation:
Contract Amount Type of Project Date Completed Name Address & Telephone No. of Person to Contact for Project Information.
List below all of your firm's contractual commitments running concurrently with the work contemplated by this solicitation:
Contract No. Dollar Amount of Project
Name, Address & Phone No. of Business Govt./Agency
Awarded (Units)
Completed
Date Contract Completed
Have you ever failed to complete any work awarded to you? Yes ( ) No ( ) Has work ever been completed by performance bond? Yes ( ) No ( ) If "Yes" to either item above specify location(s) and reason(s) why:
PART 2 – SPECIALIZED EXPERIENCE – For each of the projects listed above, address the following comments on a separate sheet:
a) Describe the specific elements of the work performed by your firm.
b) Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on Forest Service projects.
c) Address any technical areas about this project you consider uniquely relevant to this solicitation.
d) Point of Contact for Owner/Government agency Contracting Officer and or inspector; include a current phone number and facsimile number. Email address is also desired.
CERTIFICATION
I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the Forest Service with any information needed to verify my capability to perform this project.
Certifying Official's Printed Name and Title Signature (In Ink) Date
File details come from the government source that posted it. Updated .