Past_Performance_Questionnaire.pdf
PDF 127 KB Posted
- Attached to
- STEA:FIRE SPRINKLER INSPECTION Federal contract opportunity
- Solicitation number
- 140P4525Q0039
About this file
This document is a Past Performance Questionnaire for a Request for Quote (RFQ) for STEA Sprinkler, Fire & Fire Hydrant Inspections, issued by the National Park Service with solicitation number 140P4525Q0039. The questionnaire requires potential contractors to provide detailed information about their past experience, including three previous projects completed within the last five years that are similar in size and complexity to the proposed services. The form requests contractors to list contract details such as work type, contract value, agency/firm, contact information, work duration, and a brief description of duties.
The document is designed to help the National Park Service evaluate a contractor's qualifications and past performance, with Linda Richardson (linda_richardson@nps.gov) serving as the point of contact. Contractors must disclose their years of experience, business type, and answer specific questions about their contracting history, such as whether they have ever failed to complete awarded work or had work completed by a performance/payment bond. The form emphasizes the need for legible, comprehensive information and requires the contractor to certify the accuracy of their statements.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P4525Q0039_Amd_0003.pdf | ||
| Sol_140P4525Q0039_Amd_0002.pdf | ||
| STEA_Fire_Sprinker_QUESTION___ANSWER_0002.pdf | ||
| Sol_140P4525Q0039_Amd_0001.pdf | ||
| Technical_Questionnaire.pdf | ||
| B03_WE_2015-4239_SAM.pdf | ||
| 140P4525Q0039__PRICE_SCHEDULE.pdf | ||
| Sol_140P4525Q0039.pdf | ||
| A04_Stea_SOS.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE/REFERENCES
RFQ:140P4525Q0039 – STEA SPRINKLER, FIRE & FIRE HYDRANT INSPECTIONS
0044011535
140P4525Q0039 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:
0044011535
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: ____________________________________________
0044011535
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 .