PAST PERFORMANCE QUESTIONAIRE.docx
DOCX document 13 KB Posted
- Solicitation number
- QSE--36C78625Q50317
About this file
The document is a Past Performance Questionnaire template designed for contractors to provide detailed information about previous contracts similar in size and scope to the solicited opportunity. The template requires contractors to list at least three contracts completed within the last 5 years, with a preference for listing National Cemetery Administration (NCA) contracts first, followed by non-NCA contracts.
The questionnaire captures comprehensive contract details including contract number, contractor information, contact details, contract type, dollar value, award date, subcontracting percentage, work completion status, and a description of supplies or services provided. The template is specifically related to a Department of Veterans Affairs National Cemetery Administration solicitation (QSE--36C78625Q50317) for preventative maintenance services at Baltimore National Cemetery, covering a base year plus four option years from 9-15-2025 to 9-14-2026, with the applicable wage determination (WD 2015-4265 Rev 31) dated 07-08-2025.
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Other files
| File | Type | Posted |
|---|---|---|
| Wage Determination 2015-4265 Rev 31 - Date - JUL 8 2025.pdf | ||
| 36C78625Q50317 - Final HVAC SOW.docx | DOCX document | |
| PRICE SCHEDULE for HVAC Preventive Maintenance Services.pdf | ||
| 36C78625Q50317 - BNC HVAC Prevention Maintenance Services.docx | DOCX document |
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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 .