Past Performance Questionaire.pdf

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Attached to
Y1JZ--36C786-21-B-0003 | Chattanooga NC; Construct Columbrian Expansion
Solicitation number
36C78621B0003
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About this file

This document contains a past performance questionnaire template and information on an upcoming federal contract opportunity for construction services at the Chattanooga National Cemetery.

The past performance questionnaire requests contact and contract details for up to three similar past federal, state or local government contracts or private sector projects completed within the last three years. Information requested includes contract number, value, award and completion dates, description of supplies/services, and percentage of work self-performed versus subcontracted.

The pre-solicitation notice provides details on Solicitation Number 36C78621B0003 to construct a gravesite expansion and make cemetery improvements at the Chattanooga National Cemetery. The estimated contract value is between $5-10 million. The NAICS code is 237990 and business size standard is $36.5 million. The base scope of work involves general construction and alterations, with two alternate items that may be awarded separately. The solicitation is 100% set aside for verified Service-Disabled Veteran-Owned Small Businesses. The issuance date is expected on January 28, 2021 through the beta.SAM.gov website. Offers must be submitted electronically by the response deadline.

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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 .