Past_Performance_Questionnaire.pdf
PDF 126 KB Posted
- Attached to
- STEA-BULK COAL DELIVERY Federal contract opportunity
- Solicitation number
- 140P4525Q0033
About this file
The document is a Past Performance Questionnaire for a National Park Service solicitation (140P4525Q0033) for STEA Bulk Bituminous Coal Delivery. The form requires potential contractors to provide detailed information about their past contract experience, including three prior projects completed within the last five years. Contractors must document contract types, total contract values, agencies/firms worked for, contact information, work periods, and brief descriptions of duties. The questionnaire seeks to verify a contractor's capability to perform the proposed coal delivery services by capturing their professional history and performance track record.
The form includes sections for contractors to disclose their business type, years of experience in relevant work, prime and subcontractor experience, and requires certification of the information's accuracy. Contractors must indicate whether they have ever failed to complete awarded work or had work completed through performance/payment bonds. The completed questionnaire should be returned via email to Linda Richardson at linda_richardson@nps.gov, and is designed to help the National Park Service evaluate potential contractors' qualifications and past performance for the bulk bituminous coal delivery contract.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| STEA_FY25_BULK_COAL_PRICE_SCHEDULE.pdf | ||
| Technical_Questionnaire.pdf | ||
| Sol_140P4525Q0033.pdf | ||
| A04_SOW_revised_Bulk_Coal_3_13.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE/REFERENCES
140P4525Q0033 STEA BULK BITUMINOUS COAL DELIVERY
140P4525Q0033 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:
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