PAST PERFORMANCE QUESTIONAIRE.docx

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Combined Synopsis Solicitation - 36C78625Q50026 - Sewage Treatment Services for the National Cemetery of the Alleghenies. -- J046
Solicitation number
QSE--36C78625Q50026
Issued by

About this file

The document is a Past Performance Questionnaire template designed for contractors to provide detailed information about previous contracts when bidding on federal solicitations. The form requires contractors to list at least three contracts completed within the last 5 years, with a preference for National Cemetery Administration (NCA) contracts to be listed first. Contractors must provide comprehensive details including contract number, company information, contract type, dollar value, award date, work completion percentage, service description, and contact information for reference verification.

The associated federal contract opportunity is a solicitation (QSE--36C78625Q50026) for Sewage Treatment Services at the National Cemetery of the Alleghenies, issued by the Department of Veterans Affairs National Cemetery Administration. The contract has a base period plus four option years, with a performance period from 6/1/2025 to 5/31/2026. The solicitation specifically seeks a contractor to provide sewage treatment services, with reference to Wage Determination 2015-4235 Rev. 29 dated 12-23-2024, indicating compliance with specific wage standards for the project.

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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 .