Past Performance Questionnaire.pdf
PDF 132 KB Posted
- Solicitation number
- 127EAT23Q0026
- Issued by
-
Department of Agriculture Forest Service
About this file
This document is a past performance questionnaire for contractors to submit in response to a solicitation from the Department of Agriculture Forest Service. The solicitation is for the delivery of 14 mechanical detachable gooseneck low-boy trailers. Contractors must provide references and descriptions of past contracts worth over $35,000 that involved similar trailer or equipment supply within the last five years. The questionnaire requests information on the contractor's DUNS number, CAGE code, small business status, primary NAICS code, years of trailer supply experience, and manufacturing or reselling capabilities. It includes a certification that responses are complete and correct, and provides space for the certifying official's name, title, signature, and date.
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Past Performance Questionnaire
1. Contractor Name, Address, Telephone Number, and Email Address:
3. COMPANY INFORMATION
DUNS or UEI: __________________ CAGE Code:____________ Small Business: Yes/No
Primary NAICS Code: _____________
3. How many years of experience do you or your company have in providing this type of supply? _____________
3a. Does your company manufacture trailers? ___________
3b. Does your company serve as a reseller of trailers?______________
4. Please provide references for the last three (3) companies you have supplied trailers or other equipment to:
Company and Name of Person Email Address Phone Number
9. Past Performance - List below similar contracts your business has completed within the past (5) years which are similar in scope and scale to this job:
Contract Number
Contract Amount
Location of Work Names, Telephone No., and Email of Owner/Person to contact for Project Information
Description of Project
Past Performance Questionnaire
Location of Work
Location of work
Note: CPARS may also be used to assess your Past Performance.
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 Government with any information needed to verify my capability to perform this project.
13a. CERTIFYING OFFICIAL'S NAME AND TITLE
13b. SIGNATURE 14. DATE
File details come from the government source that posted it. Updated .