Attch_10 _FA3016-16-R-0021 _Past_Performance_Questionnaire.docx

DOCX document 16 KB Posted

Attached to
Install Variable Frequency Drive, Bldg. 395 Federal contract opportunity
Solicitation number
FA3016-16-R-0021
Issued by
Department of the Air Force Air Education and Training Command

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Attachment 10 FA3016-16-R-0021 Past Performance Questionnaire

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FA3016-16-R-0021, Attachment # 10

Past Performance Questionnaire Contractor Name:

Contractor’s Address:

Point of Contact:

In the solicitation FA3016-16-R-0021 past performance will not be one of the evaluation factors, however, IAW FAR Part 9.1, the Contracting Officer shall determine whether prospective contractors are responsible. Therefore, please provide the following information:

PROJECT # 1

1. Contract number:____________________________________________________

2. Project Title:________________________________________________________

3. Award date:_________________________________________________________

4. Scope of work:_______________________________________________________

5. Contract Value:______________________________________________________

6. Contracting Officer/Customer Contact Information:__________________________

PROJECT # 2

1. Contract number:____________________________________________________

2. Project Title:________________________________________________________

3. Award date:_________________________________________________________

4. Scope of work:_______________________________________________________

PROJECT # 3

1. Contract number:____________________________________________________

2. Project Title:________________________________________________________

3. Award date:_________________________________________________________

4. Scope of work:_______________________________________________________

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