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This is a Past Performance Questionnaire form required for evaluation of contractor qualifications on the Saratoga National Cemetery Janitorial Services solicitation (QSE--36C78626Q50086). Contractors must submit at least three (3) references demonstrating previous experience with federal, state, local government, or private contracts of similar size and scope within the last five years. The form requires one contract reference per submission and prioritizes National Cemetery Administration (NCA) contracts currently in progress or previously completed, followed by non-NCA contracts. Contracts may be either competitively awarded or currently active.

For each reference, contractors must provide comprehensive details including the contract number, contractor name and contact information, contract type and dollar value, award date and completion status, subcontracting extent and percentage of work performed directly by the contractor, and a detailed description of supplies or services provided with project location and relevance to the current solicitation. Additionally, contractors must identify the reference contact person's name, position, telephone number, and email address. This questionnaire is duplicatable to accommodate multiple contract references and serves as a mechanism for the Department of Veterans Affairs National Cemetery Administration to assess contractor capability and past performance on janitorial services for the Base plus four option year contract period beginning May 1, 2026.

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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.

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 .