Tab 22 - Past Performance Questionnaire.pdf
PDF 504 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 related to a federal contract opportunity for the demolition and replacement of HVAC systems at Beale Air Force Base.
The key details are: The contract was a competitive, Design-Build effort that included bonding, with a period of performance from an unspecified start date. The initial contract price was $X, with the final price being $X, though the reasons for the difference are not provided. The services included the demolition and installation of new HVAC (Trane) systems for two separate buildings. The customer is the Department of the Air Force, Air Combat Command. The questionnaire is to be completed by an evaluator with experience working on the contract, providing details on the contractor, contract specifics, and the evaluator's assessment.
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Text version
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: ___________________________________
ITO – 1.2 FA4686-23-R-0013 Page 5
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 .