Past Performance Questionaire.pdf

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Z1LB--36C786-21-B-0001| Corinth NC (VA-21-00006871); Repair Roads
Solicitation number
36C78621B0001
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This document contains a past performance questionnaire and a federal contract opportunity notice. The past performance questionnaire requests information on up to three similar past contracts within the last three years, including contract details, description of supplies and services, percentage of work completed by the company and subcontractors, as well as client information.

The federal contract opportunity is a solicitation notice to repair roads at the Corinth National Cemetery in Corinth, Mississippi. The estimated value is between $500,000 and $1,000,000, with a NAICS code of 237310 for other heavy and civil engineering construction. The opportunity is 100% set aside for service-disabled veteran-owned small businesses. Proposals must be submitted through the Department of Veterans Affairs Electronic Contract Management System vendor portal by the specified deadline.

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Other files

File Type Posted
36C78621B0001 0003.docx DOCX document
36C78621B0001 0002.docx DOCX document
36C78621B0001 0001.docx DOCX document
838CN3013_CNC_Bid Document_PLANS.pdf PDF
838CM3013 CNC_Bid Documents_Specifications.pdf PDF
36C78621B0001.docx DOCX document
CONTRACTOR RELEASE OF CLAIMS.pdf PDF
Davis-Bacon Wage Decision - Cornith NC - Repair Roads.pdf PDF

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PAST PERFORMANCE QUESTIONNAIRE

INSTRUCTIONS: Offerors must identify previous federal, state, and local government and private contracts that they have completed and that are similar to the contract being evaluated.

Offerors must list at least three (3) within the past three years for evaluation. (One contract reference per form, Form may be duplicated)

NOTE: If you have performed any National Cemetery Administration contracts list them first.

Contract Number: ___________________________________________________________

Contractor (Name, Address, Zip Code & Telephone# & email address):

Type of Contract: ______________________________________________________

Contract Dollar Value: __________________________________________________

Date of Award: ________________________________________________________

Status: Completed, Yes____ No ____ If not completed, Projected completion date___________

Description of supply/services provided, location & relevancy of work, Complexity of Product/Service:

Percentage of Work completed by your company, Type/Extent of Subcontractor and their % of work:

Information on the company/agency you serviced:

Name of Company you provided services for:

Address:______________________________________________________________________

Contact Person’s Name & Title/position:

Telephone:_____________________________________________________________________

Email:________________________________________________________________________

File details come from the government source that posted it. Updated .