About this file

This is a Past Performance Questionnaire template used to evaluate contractor qualifications based on previous project experience. Contractors must provide information on at least three (3) previous contracts that are similar in size and scope to the contract being evaluated. All listed contracts must have been either competed or completed within the last five (5) years.

The form requires contractors to submit one contract reference per completed form and prioritizes National Cemetery Administration (NCA) contracts, which should be listed first, followed by non-NCA contracts. Required information fields include: Contract Number, Contractor name and address, telephone number and email address, Type of Contract, Contract Dollar Value, Date of Award (with current status if not yet completed), Type and Extent of Subcontracting, Percentage of Work completed by the Contractor, Description of Supply/Services provided with location and work relevancy, and Address, Telephone Number, Email, and Position of the Contact Person. The form may be duplicated as needed to accommodate multiple contract references.

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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 .