Past_Performance_Questionnaire_140L3626Q0016.docx
DOCX document 29 KB Posted
- Attached to
- LE VEHICLE UPFITS NCMD
- Solicitation number
- 140L3626Q0016
About this file
This is a Past Performance Questionnaire required to be submitted with quotes for the Bureau of Land Management's LE Vehicle Upfits NCMD solicitation (140L3626Q0016). The questionnaire collects essential information about contractor qualifications and experience relevant to the solicitation requirements.
The form requires contractors to provide company information including name, address, phone number, and SAM Entity Number (UEI), along with business type classification. Contractors must document relevant experience in years for both themselves and their company, as well as specify years of experience as prime contractors and subcontractors. A critical section requires listing projects completed within the past three years with associated contract numbers, amounts, project types, completion dates, and reference contacts; notably, only projects relevant to the solicitation's duties and technical complexity will be considered. Contractors must also disclose concurrent contract commitments with details including names, addresses, phone numbers, and start/finish dates. The questionnaire includes yes/no questions regarding any failure to complete awarded work and whether work has been completed under performance bond, with space for explanation if applicable. The document requires certification by an authorized official with signature in ink and date, certifying the accuracy and completeness of all statements provided.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_140L3626Q0016_Amd_0001.pdf | ||
| Sol_140L3626Q0016.pdf | ||
| Statement_of_Work_140L3626Q0016.pdf | ||
| Schedule_of_Items_140L3626Q0016.pdf |
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Text version
Past Performance Questionnaire
(THIS MUST BE COMPLETED AND SUBMITTED WITH YOUR QUOTE)
Contractor Name:______________________________________________________________________
Address:__________________________________ City:_______________ State: _____ Zip:________
Phone Number: ____________________ SAM Entity Number (UEI): ____________________________
Type of Business:
_____Company ____Co-partnership ______Corp._____ Individual ____Non-Profit Org.
1. How many years of RELEVENT experience do you have and/or your company have regarding the types of work requested by this solicitation?
-You__________________ -Your Company__________________
2. How many years of experience in contracting does your company have as a Prime Contractor and/or a Sub-Contractor:
-Prime_________________ -Sub-Contractor__________________
3. List below projects your business has completed within the last three years. Include the contract number and amount; the type of project; the date completed and a reference contact name and telephone number for each project.
Note: Past Projects must be relevant to the requirements of this solicitation in terms of duties performed, and the technical/complexity aspects of the duties required. Projects listed that are not relevant to this solicitation and its requirements will not be considered. (attach separate page if additional room is needed)
4. List all contract commitments you have that will run concurrently with the work requested in this solicitation. Include name, address, telephone number, start and finish date.
5. Have you ever failed to complete any work awarded to you? ______Yes _____No
6. Has work ever been completed by performance bond? ______Yes ______No
If “Yes” to either item, specify location and reason:
CERTIFICATION
I certify that all of the statements made by me are complete and correct to the best of my knowledge and that any persons named as references are authorized to furnish the Bureau of Land Management with any information needed to verify my capability to perform this project.
Certifying Official Name and Title :
Authorized Signature (Sign in Ink):
Date:
File details come from the government source that posted it. Updated .