Past_Performance_Questionnaire.doc
DOC document 27 KB Posted
- Attached to
- BURRO CREEK WATER SYSTEM RV DUMP STATION RENO
- Solicitation number
- 140L6422R0001
About this file
This document contains a past performance questionnaire and details of a related federal contract opportunity. The past performance questionnaire requests information on the contractor's experience, past projects completed within the last three years that are relevant to the requirements of the solicitation, concurrent contracts, and failure to complete prior work. The related federal contract opportunity is a small business set-aside issued by the Bureau of Land Management Arizona State Office to support renovations to the Burro Creek Water and Recreational Vehicle Dump Station. The opportunity is a small business set-aside under NAICS code 237110 with a small business size standard of $39.5 million. Proposals are due in response to solicitation number 140L6422R0001 for renovations supporting the Bureau of Land Management's requirement.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Sol_140L6422R0001_Amd_0002.pdf | ||
| Sol_140L6422R0001_Amd_0001.pdf | ||
| Project_Specifications.pdf | ||
| Wage_Determinations.pdf | ||
| Final_Construction_Plans.pdf | ||
| Sol_140L6422R0001.pdf | ||
| Pricing_Worksheet.xlsx | XLSX spreadsheet |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Past Performance Questionnaire
(THIS MUST BE COMPLETED AND SUBMITTED WITH YOUR PROPOSAL)
Contractor Name:______________________________________________________________________ Address:__________________________________ City:_______________ State: _____ Zip:________ Phone Number: ____________________ DUNS Number: ____________________________ 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 .