P02 - Past Performance Questionaire.pdf
PDF 113 KB Posted
- Solicitation number
- 36C78620Q0375
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PAST PERFORMANCE QUESTIONAIRE
INSTRUCTIONS: Contractor must identify previous federal, state, local government and or private contracts completed that are similar in size and scope to the contract being evaluated. List at least three
(3) contracts for evaluation. Contracts must be either competed or current within the last (5) years.
One contract reference per form. Contract must be Relevant to current requirements.
Note: List any National Cemetery Administration (NCA) contracts currently working or previously worked first followed by Non‐NCA contracts.
Past Performance Questionnaire
Contract Number
Contractor ( Name
Address, Zip Code)
Telephone Number
Email Address
Type of Contract
Contract Dollar Value
Date of Award (if not completed provide status)
Type/Extent of
Subcontracting
Percentage of Work completed by the
Contractor
Description of
Supply/Services provided, location & relevancy of work
Address, Telephone
Number & Email of the
Contact Person and
Position
Form may be duplicated
File details come from the government source that posted it. Updated .