C04d_Attach 4 Exhibit A PRQ_12444026Q0095.pdf
PDF 108 KB Posted
- Solicitation number
- 12444026Q0098
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a Performance Relevancy Questionnaire template used by the U.S. Forest Service to evaluate contractor qualifications and past performance on proposed federal contracts.
Offerors must provide their contractor name, address, and telephone number on each questionnaire page and document their years of experience in the relevant line of work, including separate accounting of prime contractor and subcontractor experience. Part 1 requires contractors to list up to five projects completed within the last three years that are similar in scope to the solicitation, including contract amounts, project types, completion dates, and contact information for project references. Contractors must also disclose all concurrent contractual commitments and answer whether they have ever failed to complete awarded work or had work completed by performance bond, with explanations required if applicable. Part 2 requires separate detailed responses for each project listed, addressing the specific work elements performed by the firm, subcontractor involvement and their availability for Forest Service projects, technical areas uniquely relevant to the solicitation, and complete point-of-contact information for the owner or government agency contracting officer or inspector, including current phone and facsimile numbers with email addresses preferred. The questionnaire concludes with a certification statement requiring the offeror's printed name, title, ink signature, and date, confirming the accuracy of all statements and authorizing references to provide verification information to the Forest Service.
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Other files
| File | Type | Posted |
|---|---|---|
| C04a_Attach 1 WD 5375 Grant Parish LA_12444026Q0098.pdf | ||
| C04_Combined Syn_Sol_12444026Q0098.pdf | ||
| C04c_Attach 3 SOI_12444026Q0098.xlsx | XLSX spreadsheet | |
| Z01_SF 1449_12444026Q0098.pdf | ||
| C04b_Attach 2 SOW_PWS_12444026Q0098.pdf |
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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
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