PAST PERFORMANCE QUESTIONNAIRE.docx
DOCX document 15 KB Posted
- Solicitation number
- 36C78621R0031
About this file
This document contains a past performance questionnaire template and a pre-solicitation notice for a federal contract opportunity. The past performance questionnaire requests information on up to five similar contracts completed in the last three years, including contract details, point of contact, description of services, and performance issues.
The pre-solicitation notice is for a project to construct a new restroom with utilities and septic system at Prescott National Cemetery in Arizona. The solicitation will be issued on or around May 20, 2021 with an estimated value between $250,000 and $500,000. The NAICS code is 236210 and it is reserved exclusively for service-disabled veteran-owned small businesses. Firms must be registered in SAM, Vendor Information Pages, and have CVE certification to be considered. The contracting officer is Auvorie Benson and amendments will be posted to Beta SAM rather than distributed directly.
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Other files
| File | Type | Posted |
|---|---|---|
| SOW Prescott TR updated.doc | DOC document | |
| 36C78621R0031 0007.docx | DOCX document | |
| Complete set 7.20.21.pdf | ||
| 36C78621R0031 0006.docx | DOCX document | |
| 36C78621R0031 0005.docx | DOCX document | |
| 36C78621R0031 0004.docx | DOCX document | |
| water connection.pdf | ||
| electrical connection.pdf | ||
| 36C78621R0031 0003.docx | DOCX document | |
| 36C78621R0031 0002.docx | DOCX document | |
| 36C78621R0031 0001.docx | DOCX document | |
| SOW - Design Build Prescott.doc | DOC document | |
| Wage Determination.txt | TXT text file | |
| 36C78621R0031_2.docx | DOCX document | |
| Site Plan.pdf |
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PAST PERFORMANCE QUESTIONNAIRE
INSTRUCTIONS: Offerors must identify previous federal, state, and local government and private contracts that they have completed and that are similar to the contract being evaluated. List at least three (3), but no more than five (5) contracts for evaluation limited to the last three (3) years. (One contract reference per form, Form may be duplicated) NOTE: If you have performed any National Cemetery Administration contracts list them first.
Contractor (you) Information:
Name: _____________________________________________________________________ Address: ___________________________________________________________________ Telephone Number: ___________________________________________________________ E-mail: ______________________________________________________________________
Contract Information:
Name of company/agency you provided service for: ___________________________________ Contract Number: _____________________________________________________________ Type of Contract: _______________________________________________________________ Contract Dollar Value: ___________________________________________________________ Date of Award: _________________________________________________________________ Status: Completed, Yes____ No____ If not completed, projected completion date____________ If not completed, why?___________________________________________________________
Point of Contact Information for the company/agency you serviced:
Name of the Contract Person & their position: ________________________________________ Address: ______________________________________________________________________ Telephone Number: _____________________________________________________________ E-mail: ________________________________________________________________________
Description of Supply/Service(s) provided, location & relevancy of work:
Complexity of Product/Service, if any:
Percentage of Work completed by your company/by subcontractor:
Provide information on problems encountered during performance of this contract and your corrective actions, (if applicable):
(End of Section)
File details come from the government source that posted it. Updated .