ATTACHMENT_2-_Past_Performance_Worksheet.pdf

Attachment 1: Past Performance

PAST PERFORMANCE INFORMATION COLLECTION SHEET

(TO BE COMPLETED BY THE OFFEROR. SUBMIT A SEPARATE SHEET FOR EACH REFERENCE.)

1. Your firm’s name:

2. Contract number of referenced project:

3. Description, location & relevancy of work: (Note: Relevancy is defined as something that has a logical connection with the matter under consideration, e.g., similar project size and type of work. It is the offeror’s responsibility to establish relevancy.)

4. Owner’s name and address:

5. Owner’s point of contact (name and telephone number) (NOTE: IT IS YOUR RESPONSIBILITY TO

ENSURE POINTS OF CONTACT CAN BE CONTACTED BY THE GOVERNMENT’S EVALUATORS

AND THAT THEY WILL COOPERATE.):

6. Prime contractor’s name and address if you were a subcontractor on this project:

7. Your role (e.g., Prime, Member of Joint Venture, Subcontractor, etc.) and work performed by your in-house forces:

8. Contract price:

9. Extent and type of work you subcontracted to other firms

10. Date started ____________ and date completed____________. (If not completed, give percentage of completion and expected completion date.)

11. Did you receive a written performance evaluation for this project? (Yes/No) If yes, what rating did you receive?

12. Was your contract/subcontract terminated for default? If so, attach an explanation of the circumstances.

13. Were liquidated damages assessed? If so, attach an explanation of the circumstances.