PAST PERFORMANCE QUESTIONAIRE.doc

This is a Past Performance Questionnaire form required for contractors bidding on federal contracts. Contractors must submit at least three (3) references for similar contracts completed within the last five years, listing either competed or current contracts of comparable size and scope. Each reference requires one completed form identifying the contractor name and address, contract number, dollar value, award date, subcontracting details, description of supplies or services provided, work location, and the contact person's name, telephone number, email, and position. The form instructs contractors to list any National Cemetery Administration (NCA) contracts first, followed by non-NCA contracts.

This questionnaire is associated with a solicitation (QSE--36C78626Q50022) for Grounds Maintenance Services at Cypress Hill National Cemetery under the Department of Veterans Affairs National Cemetery Administration. The contract covers a base period from April 5, 2026, through April 4, 2027, with four optional one-year renewal periods. The applicable wage determination is 2015-4187, Revision 34, effective December 3, 2025. Contractors responding to this solicitation must provide relevant past performance examples demonstrating experience with similar grounds maintenance work for federal, state, local government, or private entities.