D P09 Past Performance.pdf

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Attached to
Consolidated Synopsis Aggregate Materials Black Hills National Cemetery
Solicitation number
36C78627Q00000
Issued by

About this file

This document is a Past Performance Questionnaire template for federal contracting purposes.

Contractors responding to this solicitation must provide documentation of at least three (3) comparable contracts completed or currently active within the past five (5) years. The questionnaire requires one contract reference per form and mandates that any National Cemetery Administration (NCA) contracts be listed first, followed by Non-NCA contracts. For each contract reference, contractors must supply the following information: contract number, contractor name and address, telephone number and email address, contract type, contract dollar value, award date (or current status if incomplete), type and extent of subcontracting, percentage of work completed by the prime contractor, description of supplies or services provided with location and work relevancy, and contact information for the contract reference including the contact person's position. The referenced contracts must be comparable in size, complexity, and scope to the solicitation being evaluated. This template is designed to assess contractor capability and experience for federal contract award decisions.

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ATTACHMENT B: PAST PERFORMANCE

INSTRUCTIONS: Contractor must identify previous federal, state, local government and or private contracts completed that are comparable in size, complexity and scope to the contract being evaluated. List at least three

(3) contracts for evaluation. Contracts must be either completed or current within the last (5) years. One contract reference per form.

Note: List any National Cemetery Administration (NCA) contracts currently working or previously worked first followed by Non-NCA contracts.

Past Performance Questionnaire

Contract Number

Contractor ( Name

Address, Zip Code)

Telephone Number

Email Address

Type of Contract

Contract Dollar Value

Date of Award (if not completed provide status)

Type/Extent of

Subcontracting

Percentage of Work completed by the

Contractor

Description of

Supply/Services provided, location & relevancy of work

Address, Telephone

Number & Email of the

Contact Person and

Position

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