EXHIBIT_E-3_Past_Performance_Questionnaire.docx

DOCX document 22 KB Posted

Attached to
Alaska Helicopter On Call flight services Federal contract opportunity
Solicitation number
140D8121R0002
Issued by
Department of the Interior Departmental Offices Interior Business Center

About this file

This document is a past performance questionnaire for offerors responding to solicitation number 140D8121R0002 for on-call helicopter flight services in Alaska. The questionnaire collects details on up to five recent contracts within the past three years for similar services, including primary work type, location, aircraft make and model, contract number, use period, annual value, flight hours, and client references. Offerors must provide all requested information for their references to be considered, otherwise they may not receive consideration for the work. The related federal contract opportunity is for on-call helicopter flight services in Alaska to be awarded by the Department of the Interior Departmental Offices Interior Business Center.

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Text version

EXHIBIT E-3

PAST PERFORMANCE QUESTIONNAIRE

You may recreate this form, but it must include all the information listed. If you fail to include all requested information or we are unable to contact your references based on the information you provide, you may not receive consideration for the work done. Include recent (not more than 3 years old) experience of the kind described in paragraph B1 of the specifications.

OFFEROR NAME:

DATE

Primary Type of Work Done:

Location of Work Done:
A/C Make/Model Used:

Contract #:

|_| None |_| Exclusive Use |_| Call When Needed

Use Dates: TO

CHECK ALL THAT APPLY

|_| 2020 |_|2019 |_|2018

Est. Annual Value of Work:

Estimated Annual Flight Hours:

Client Name/ Point of Contact:

Client Telephone #:
Client Email:

Primary Type of Work Done:

Location of Work Done:
A/C Make/Model Used:

Contract #:

|_| None |_| Exclusive Use |_| Call When Needed

Use Dates: TO

CHECK ALL THAT APPLY

|_| 2020 |_|2019 |_|2018

Est. Annual Value of Work:

Estimated Annual Flight Hours:

Client Name/ Point of Contact:

Client Telephone #:
Client Email:

Primary Type of Work Done:

Location of Work Done:
A/C Make/Model Used:

Contract #:

|_| None |_| Exclusive Use |_| Call When Needed

Use Dates: TO

CHECK ALL THAT APPLY

|_| 2020 |_|2019 |_|2018

Est. Annual Value of Work:

Estimated Annual Flight Hours:

Client Name/ Point of Contact:

Client Telephone #:
Client Email:

Primary Type of Work Done:

Location of Work Done:
A/C Make/Model Used:

Contract #:

|_| None |_| Exclusive Use |_| Call When Needed

Use Dates: TO

CHECK ALL THAT APPLY

|_| 2020 |_|2019 |_|2018

Est. Annual Value of Work:

Estimated Annual Flight Hours:

Client Name/ Point of Contact:

Client Telephone #:
Client Email:

Primary Type of Work Done:

Location of Work Done:
A/C Make/Model Used:

Contract #:

|_| None |_| Exclusive Use |_| Call When Needed

Use Dates: TO

CHECK ALL THAT APPLY

|_| 2020 |_|2019 |_|2018

Est. Annual Value of Work:

Estimated Annual Flight Hours:

Client Name/ Point of Contact:

Client Telephone #:
Client Email:

File details come from the government source that posted it. Updated .