Past Performance Questionnaire.doc
DOC document 44 KB Posted
- Solicitation number
- 693C73-20-R-000009
About this file
This document contains a past performance questionnaire template to be completed for federal contract opportunities. The form requests information on previous project names and contract numbers, owner and contractor details, award amounts and dates, scope of work including percentage of work self-performed, and narratives addressing project quality, schedule, budget, and contractor integrity.
The related federal contract opportunity is for pavement reconstruction and safety improvements. The solicitation number is 693C73-20-R-000009 from the Department of Transportation Federal Highway Administration. The opportunity description lists the project name and number.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment 0002.pdf | ||
| Amendment 0001.pdf | ||
| REQUEST FOR QUALIFICATIONS NATR 2A18B7C6D113A17B9.pdf |
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Text version
Past Performance Form This form must be completed and submitted for EACH project.
Project Name/Number: _________________________________________________
Project Contract Number: ___________________________________
Facility Owner/Organization Name: _______________________________________________
Address: _________________________________________________________________ Facility Owner/Organization Point of Contact: _______________________________________
Facility Owner/Organization e-mail address: _______________________________________
Facility Owner/Organization Phone Number: _______________________________________
If work was performed as a subcontractor, please provide the following information:
Prime Contractor Name: _______________________________________________
Address:
Prime Contractor Point of Contact: _______________________________________
Prime Contractor e-mail address: _______________________________________
Prime Contractor Phone Number: _______________________________________
Award Amount: $_________________ Contract Award Date: _______ Completion Date: _______________
Project Scope: ______________________________________________________________________________
Percent of work completed by your own workforce based on contract award amount, and indicate specific work performed: ______________________________________________________________________________
Narrative of Project Quality:
Narrative of whether the project delivered on-schedule or not:
Narrative of if the project was delivered within budget:
Include any statements as to the Offeror's integrity, reasonable and cooperative conduct, and commitment to QA, QC and customer satisfaction:
Source Selection Information
See FAR 2.101 and 3.104
(Applicable when filled-in)
File details come from the government source that posted it. Updated .