Past_Performance_Questionnaire.pdf
PDF 126 KB Posted
- Attached to
- DEWA PARK WIDE TRASH & RECYCLE PICKUP Federal contract opportunity
- Solicitation number
- 140P4523Q0007
About this file
This document contains a past performance questionnaire and references form for contractors to submit in response to solicitation 140P4523Q0007 for DEWA PARK WIDE TRASH AND RECYCLE PICKUP services. Contractors must provide details of relevant past experience from the last five years, including contract amounts, project types, completion dates, and references with contact information. They must also disclose any past failures to complete work or need for performance or payment bonds. The solicitation is for solid waste and recycling disposal services across DEWA National Park and involves the National Park Service. Responses are due to linda_richardson@nps.gov by a specified date. Award will likely be made to a responsible contractor whose offer conforms to the solicitation and is most advantageous to the government considering price and other factors.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Technical_Questionnaire.pdf | ||
| A04_SOW.pdf | ||
| A06_PRICE_SCHEDULE.pdf | ||
| Sol_140P4523Q0007.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE/REFERENCES
140P4523Q0007 DEWA SOLID WASTE & RECYCLING DISPOSAL SERVICE- 0040603604
140P4523Q0007 POINT OF CONTACT: LINDA RICHARDSON, linda_richardson@nps.gov
Past Performance Questionnaire
Contractor Name: Duns #
Address: City: State: Zip:
Phone Number: Fax Number:
Type of Business:
_____Company ____Co-partnership ______Corp._____ Individual ____Non-Profit Org.
How many years do you or your firm has in the types of work requested by this solicitation?
_________________year(s).
How many years experience in contracting have you or your business had as a Prime Contractor? _________year(s) and/or Sub-contractor: _______(years)
List below the three (3) projects your business has completed within the last five (5) years of the proposed service requested by this solicitation, include the contract amount, the type of project, date completed and your reference contact name, address, email address and telephone number: (SEE ATTACHED SHEET)
Have you ever failed to complete any work awarded to you? ______Yes _____No
Has work ever been completed by performance/payment 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 National Park Service with any information needed to verify my capability to perform this project.
Certifying Official Name and Title:
Signature (Sign in Ink):
Date:
PAST EXPERIENCE & REFERENCES
REFERENCES:
This form must be completed by all quoters in order to receive consideration. If additional space is needed, this form may be duplicated as necessary. List any current or past experience which is pertinent to this position. Past performance and experience may be a combination of up to two contracts similar in size and complexity to those stated in the Technical Provisions and work experience in similar positions, performing duties similar in nature and complexity to the required services. Include (separately) details of any training which would enable you to better perform the work outlined in the specifications. Reference information should include a point-of-contact's name, telephone number and e-mail address. (IF
HANDWRITTEN, MUST BE LEGIBLE)
Experience No. 1
Contract/Work type: ____________________________________________
Contract Number (if applicable): ____________________________________________
Total Contract Value: __________________________________________
Agency/firm for who work was performed: ____________________________________________
Contact person at the site: Telephone #: ____________________________________________
E-mail address: ____________________________________________
Month/Year work began: Month/Year work ended: ________________________________________
Brief description of duties:
Experience No. 2
Contract/Work type: ____________________________________________
Contract Number (if applicable): ____________________________________________
Total Contract Value: __________________________________________
Agency/firm for who work was performed: ____________________________________________
Contact person at the site: Telephone #: ____________________________________________
E-mail address: ____________________________________________
Brief description of duties
Experience No. 3
Contract/Work type: ____________________________________________
Contract Number (if applicable): ____________________________________________
Total Contract Value: __________________________________________
Agency/firm for who work was performed: ____________________________________________
Contact person at the site: Telephone #: ____________________________________________
E-mail address: ____________________________________________
Brief description of duties:
Return form to:
Email: linda_richardson@nps.gov mailto:linda_richardson@nps.gov
Type of Business:
File details come from the government source that posted it. Updated .