Past_Performance_Questionnaire.docx
DOCX document 29 KB Posted
- Attached to
- SCRATCHGRAVEL HILLS CULTURAL RESOURCE IN
- Solicitation number
- 140L3626Q0031
About this file
This is a Past Performance Questionnaire required for submission with a quote to the Department of the Interior Bureau of Land Management for solicitation 140L3626Q0031 regarding the Scratchgravel Hills Cultural Resource project.
The questionnaire requires contractors to provide comprehensive information about their qualifications and experience, including years of relevant experience for both individual personnel and the company, as well as prime contractor and subcontractor experience. Contractors must list specific projects completed within the last three years that are relevant to the solicitation requirements, including contract numbers, amounts, project types, completion dates, and reference contacts. Additionally, contractors must disclose all concurrent contract commitments that overlap with the requested work, including company details and timelines, and certify whether they have previously failed to complete awarded work or required performance bonds. The form requires a certification statement signed in ink by an authorized official affirming the completeness and accuracy of all submitted information and authorizing the Bureau of Land Management to verify the contractor's capability to perform the project through provided references.
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Other files
| File | Type | Posted |
|---|---|---|
| A04_SOW_with_Maps_Scratchgravel_Hills_CRI.pdf | ||
| Sol_140L3626Q0031.pdf | ||
| B03_WD_2015_6031_Rev4_Date_5_13_2026.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 .