C05d_Attach 4 Exhibit A_PRQ_12444026Q0099_0001.pdf
PDF 107 KB Posted
- Attached to
- USDA-Forest Service-George Washington & Jefferson NF - Lee Ranger District - Mowing Services
- Solicitation number
- 12444026Q0099
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a Performance Relevancy Questionnaire template used by the Forest Service to evaluate contractor qualifications and past performance for solicitation responses.
The questionnaire requires offerors to provide detailed information about their relevant experience, including years in the line of work, experience as prime and subcontractors, and up to five completed projects within the last three years with similar scope. Contractors must list all concurrent contractual commitments with contract numbers, dollar amounts, awarding agencies, completion percentages, and completion dates. The form includes yes/no questions regarding failure to complete awarded work and use of performance bonds, with space to explain any affirmative responses. Part 2 requires separate detailed documentation for each listed project addressing specific work elements performed by the firm, subcontractor involvement and their anticipated use on Forest Service projects, technical areas uniquely relevant to the solicitation, and points of contact for the owner/government agency contracting officer or inspector with current phone, facsimile, and email information. The questionnaire must be signed and certified by an authorized official attesting to the accuracy and completeness of all statements and confirming that named references are authorized to verify the contractor's capability to perform the project.
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Other files
| File | Type | Posted |
|---|---|---|
| C05_Combined Syn_Sol_12444026Q0099_0001.pdf | ||
| C05c_Attach 3 SOI_12444026Q0099_0001.docx | DOCX document | |
| C05a_Attach 1 WD 4333 VA_12444026Q099_0001.pdf | ||
| C05b_Attach 2 SOW_12444026Q0099_0001.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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