A.13 Attach 6 - Past Performance Survey

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FOR OFFICAL USE ONLY

RFP FA5685-08-R-0024

ATTACHMENT 6 - PAST PERFORMANCE QUESTIONNAIRE

Source Selection Document

Project #__ 1.a. Project Name and Location:

1.b. Mark involvement for this project (Check the one that applies): (If other, describe in Block 26)

Prime Contractor Sub-Contractor Joint Venture Other

2. Project owner’s complete address:

3a. Technical Point of Contact for project

(Name, title, address, phone, fax, email):

4b. Contracting Point of Contact for the project

(Name, title address, phone, fax, email):

4. Describe contract type (Major/Minor Repair, Renovation, Construction, etc), Nature, Scope of work, Contract Price, Final Invoiced Amount:

5. Date work was begun (Day/Month/Year):

6. Date work was completed (Day/Month/Year):

Estimated Date of Completion: / / Actual Date of Completion*: / /

*leave blank if project is ongoing

Project #__ 1.a. Project Name and Location:

1.b. Mark involvement for this project (Check the one that applies): (If other, describe in Block 26)

Prime Contractor Sub-Contractor Joint Venture Other

2. Project owner’s complete address:

3a. Technical Point of Contact for project

(Name, title, address, phone, fax, email):

4b. Contracting Point of Contact for the project

(Name, title address, phone, fax, email):

4. Describe contract type (Major/Minor Repair, Renovation, Construction, etc), Nature, Scope of work, Contract Price, Final Invoiced Amount:

5. Date work was begun (Day/Month/Year):

6. Date work was completed (Day/Month/Year):

Estimated Date of Completion: / / Actual Date of Completion*: / /

*leave blank if project is ongoing

PAGE

FOR OFFICAL USE ONLY