Attch_14_-_Contractor_Responsibility_Questionnaire.docx
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- Attached to
- Bldg 100 Structural Repairs Federal contract opportunity
- Solicitation number
- FA3016-16-R-0035
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FA3016-16-R-0035, Attachment 14
Past Performance Questionnaire Contractor Name:
Contractor’s Address:
Point of Contact:
In the solicitation FA3016-16-R-0035 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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