22. Past Performance Questionnaire.pdf
PDF 562 KB Posted
- Attached to
- Oroville Radar HVAC & Bldg 24177, 24176 & 2443 Chiller Replacement, CDC Chiller Replacement
- Solicitation number
- FA468624R0014
About this file
This document is a Past Performance Questionnaire for a federal contract opportunity. It requests information about a previous contract, including the contract number, type, price, period of performance, and a description of the services provided. The questionnaire also asks for details about the customer or agency, as well as the evaluator's information.
The related federal contract opportunity is for the demolition and replacement of two separate HVAC systems at Beale Air Force Base. The solicitation number is FA468624R0014, and the contract is for the "Oroville Radar HVAC & B24177, B24176 Chiller Replacement" project, with an estimated value between $300,000 and $500,000. The key dates are a site visit on May 9 and 10, 2024, an RFI due date of May 15, 2024, and a proposal due date of May 31, 2024. The contracting agency is the Department of the Air Force, Air Combat Command.
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TAB 22 - Past Performance Questionnaire
ITO – 1.2 Page 1
Oroville Radar HVAC & Bldg 24177, 24176 & 2443 Chiller Replacement
WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104
SECTION 1: CONTRACT IDENTIFICATION
Contractor: _________________________________
Cage Code of contractor contract was awarded to: _________________________________
Contract number: _______________________________________
Contract type: ______________________________ (If multiple types (i.e. Firm-Fixed Price with Time & Material), list percentage and dollar amount of Firm-Fixed Price portion)
Was this a competitive contract? Yes _____ No _____
Did this contract include Design-Build efforts ? Yes _____ No _____
Did this contract include Bonding ? Yes _____ No _____
Period of performance: _________________________________________________________
Initial contract price: $____________________________
Current/final contract price: $_______________________________
Reasons for differences between initial contract price and final contract price:
Description of service provided:
ATTACHMENT - INSTRUCTIONS TO OFFERORS (ITO)
ITO – 1.2 Page 2
SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION
Customer or agency name:
Customer or agency description (if applicable):
Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:
SECTION 3. EVALUATOR IDENTIFICATION
Evaluator's name:
Evaluator's title:
Evaluator's phone/fax number:______________________________________________________ Evaluator’s email: __________________________________________________________________
Number of years evaluator worked on subject contract: ___________________________________
Evaluator’s Signature Date__________________________
Thank you for your prompt response and assistance!
Please return this completed questionnaire to:
DEPARTMENT OF THE AIR FORCE
james_bryan.buyag@us.af.mil milton.vasquez@us.af.mil mailto:Kelly.Benton@us.af.mil mailto:Dustin.Lashley@us.af.mil
ITO ATTACHMENT 1.2
File details come from the government source that posted it. Updated .