Past_Performance.pdf
PDF 125 KB Posted
- Attached to
- STEA PARK WIDE FIRE EXTINGUISHER INSPECTION, TESTI Federal contract opportunity
- Solicitation number
- 140P4524Q0073
About this file
This document is a Past Performance Questionnaire/References form related to a federal contract opportunity for STEA Fire Extinguisher Service at Steamtown National Historical Site in Scranton, PA.
The key details include: the solicitation number is 140P4524Q0073, the point of contact is Linda Richardson at linda_richardson@nps.gov, and the contract work involves fire extinguisher inspection, testing, maintenance, repair, and replacement services. The form requires contractors to provide details on their past experience, including contract/work type, contract number, total contract value, agency/firm for whom the work was performed, contact person, and brief description of duties. Contractors must also indicate if they have ever failed to complete any awarded work or had work completed by a performance/payment bond. The completed form should be emailed to the point of contact.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P4524Q0073.pdf | ||
| B03_WD_2015-4239.pdf | ||
| A06_FY24-FIRE_LOCATIONS_STEA1_steaxlsx.pdf | ||
| PRICE_SCHEDULE.pdf | ||
| A04_STEA_PARK_Wide_Fire_Extinguisher_Service.pdf | ||
| Technical_Questionnaire.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE/REFERENCES
140P4524Q0073 STEA FIRE EXTINGUISHER SERVICE
140P4524Q0073 POINT OF CONTACT: LINDA RICHARDSON, linda_richardson@nps.gov
Past Performance Questionnaire
Contractor Name: Duns #
Address: City: State: Zip:
Phone Number: Fax Number:
Type of Business:
_____Company ____Co-partnership ______Corp._____ Individual ____Non-Profit Org.
How many years do you or your firm has in the types of work requested by this solicitation?
_________________year(s).
How many years experience in contracting have you or your business had as a Prime Contractor? _________year(s) and/or Sub-contractor: _______(years)
List below the three (3) projects your business has completed within the last five (5) years of the proposed service requested by this solicitation, include the contract amount, the type of project, date completed and your reference contact name, address, email address and telephone number: (SEE ATTACHED SHEET)
Have you ever failed to complete any work awarded to you? ______Yes _____No
Has work ever been completed by performance/payment bond? ______Yes ______No
If “Yes” to either item, specify location and reason:
CERTIFICATION
I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the National Park Service with any information needed to verify my capability to perform this project.
Certifying Official Name and Title:
Signature (Sign in Ink):
Date:
PAST EXPERIENCE & REFERENCES
REFERENCES:
This form must be completed by all quoters in order to receive consideration. If additional space is needed, this form may be duplicated as necessary. List any current or past experience which is pertinent to this position. Past performance and experience may be a combination of up to two contracts similar in size and complexity to those stated in the Technical Provisions and work experience in similar positions, performing duties similar in nature and complexity to the required services. Include (separately) details of any training which would enable you to better perform the work outlined in the specifications. Reference information should include a point-of-contact's name, telephone number and e-mail address. (IF
HANDWRITTEN, MUST BE LEGIBLE)
Experience No. 1
Contract/Work type: ____________________________________________
Contract Number (if applicable): ____________________________________________
Total Contract Value: __________________________________________
Agency/firm for who work was performed: ____________________________________________
Contact person at the site: Telephone #: ____________________________________________
E-mail address: ____________________________________________
Month/Year work began: Month/Year work ended: ________________________________________
Brief description of duties:
Experience No. 2
Contract/Work type: ____________________________________________
Contract Number (if applicable): ____________________________________________
Total Contract Value: __________________________________________
Agency/firm for who work was performed: ____________________________________________
Contact person at the site: Telephone #: ____________________________________________
E-mail address: ____________________________________________
Brief description of duties
Experience No. 3
Contract/Work type: ____________________________________________
Contract Number (if applicable): ____________________________________________
Total Contract Value: __________________________________________
Agency/firm for who work was performed: ____________________________________________
Contact person at the site: Telephone #: ____________________________________________
E-mail address: ____________________________________________
Brief description of duties:
Return form to:
Email: linda_richardson@nps.gov mailto:linda_richardson@nps.gov
Type of Business:
File details come from the government source that posted it. Updated .