Past_and_present_Performance_Survey.docx
DOCX document 78 KB Posted
- Solicitation number
- 140FS324Q0003
About this file
This document is a past and present performance survey for a contractor to provide information about previous federal contracts and subcontracts. The survey requests details on up to three prime contracts or subcontracts the contractor has completed or is currently working on, including the contracting agency, point of contact, contract number, value, period of performance, work performed by the contractor and any subcontractors, quality control and safety plans used, and any problems encountered and how they were resolved. The related federal contract opportunity is solicitation number 140FS324Q0003 for janitorial services at the Arthur R. Marshall Loxahatchee National Wildlife Refuge, issued by the Department of the Interior Fish and Wildlife Service.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140FS324Q0003_Amd_0001.pdf | ||
| CleaningScopeofWork_updated_101723.pdf | ||
| SCA_DOL_wages.pdf | ||
| HQ_Map.pdf | ||
| Sol_140FS324Q0003.pdf |
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Text version
PAST AND PRESENT PERFORMANCE SURVEY
Your Company Name: Street Address: City, State and ZIP Code:
1. GENERAL BUSINESS INFORMATION
Date Firm Organized/Established:
Company President: Vice President:
WWW.SAM.GOV UEI Number:__________________________________
2. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS
Complete and submit the information requested on page 2-4 below on prime contracts or subcontracts completed or in progress. Government contracts are preferred; but, if you have not performed Government contracts, indicate any other contracts completed or in progress.
140ATTACHMENT 3
a. First Contract:
Contracting Agency or Company: Point of Contact: Telephone Number: Contract Number: Contract/Subcontract Amount: $ Project Title and Location:
General Scope of Service/Project:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $ Period of Performance: days Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: % Were You Terminated? Were you issued concern or cure notices? (If the answer to either Question is “Yes”, Explain:
Did you use a Quality Control Plan? Did you use a Safety Plan? Quality Control or Safety Problems encountered (if any):
How were the problems resolved?
ATTACHMENT 3
140FS3XXXXX
b. Second Contract:
Contracting Agency or Company: Point of Contact: Telephone Number: Contract Number: Contract/Subcontract Amount: $ Project Title and Location:
General Scope of Service/Project:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $ Period of Performance: days Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: % Were You Terminated? Were you issued concern or cure notices? (If the answer to either Question is “Yes”, Explain:
Did you use a Quality Control Plan? Did you use a Safety Plan? Quality Control or Safety Problems encountered (if any):
How were the problems resolved?
c. Third Contract:
Contracting Agency or Company: Point of Contact: Telephone Number: Contract Number: Contract/Subcontract Amount: $ Project Title and Location:
General Scope of Service/Project:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $ Period of Performance: days Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: % Were You Terminated? Were you issued concern or cure notices? (If the answer to either Question is “Yes”, Explain:
Did you use a Quality Control Plan? Did you use a Safety Plan? Quality Control or Safety Problems encountered (if any):
How were the problems resolved?
ATTACHMENT 3
140FS3XXXXX
of 5
3. Certification of Past and Present Performance Information:
Type or Print Information
Name of Survey Preparer Title Phone:
E-Mail:
Signature Date
File details come from the government source that posted it. Updated .