Past_Performance_Questionnaire.docx

DOCX document 29 KB Posted

Attached to
Pedestrian and Vehicle Gate Cable Repair
Solicitation number
140L3626Q0055
Issued by

About this file

This is a Past Performance Questionnaire designed to evaluate contractor qualifications and experience for the Pedestrian and Vehicle Gate Cable Repair solicitation issued by the Department of the Interior Bureau of Land Management (Solicitation Number: 140L3626Q0055). The questionnaire serves as a template for prospective contractors to document their relevant past performance on similar projects.

The questionnaire requests contractors to provide detailed information about previous projects involving gate access control systems, cable repair work, and related infrastructure maintenance. Contractors are expected to demonstrate experience with pedestrian and vehicle gate systems, cable installation and repair capabilities, and work performed for federal or similar governmental entities. The questionnaire likely includes sections for project descriptions, client references, timelines, contract values, and performance metrics to substantiate the contractor's ability to successfully execute the South Pedestrian and Vehicle Gate Access Control Cable Repair project. This past performance evaluation is a standard requirement in the federal procurement process to assess contractor capability and track record before award consideration.

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Other files

File Type Posted
A04_SOW_Amended_0001.pdf PDF
Sol_140L3626Q0055_Amd_0001.pdf PDF
B03_WD_2015-5389_Rev__30_Date_08_22_2026.pdf PDF
Sol_140L3626Q0055.pdf PDF
A04_SOW.pdf 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 .