Past_Performance_Questionnaire.pdf
PDF 136 KB Posted
- Attached to
- FIIS - PROCUREMENT OF COMPOSITE DECKING Federal contract opportunity
- Solicitation number
- 140P4526Q0016
About this file
This is a Past Performance Questionnaire and References form for RFQ SOL 140P4526Q00016, a Federal Integrated Information System (FIIS) procurement of composite decking by the National Park Service. The form must be completed by all quoters to receive consideration.
The questionnaire requires contractors to provide comprehensive past performance information, including their business type, years of experience in the requested work type, and contracting experience as prime contractors and/or subcontractors. Contractors must list three projects completed within the last five years that are similar in scope and complexity to the solicitation requirements, including contract amounts, project types, completion dates, and reference contact information. The form also requires disclosure of any work failures or completion under performance/payment bonds, with explanation of circumstances if applicable. Contractors must indicate whether they plan to perform all work or propose subcontractors, specifying the subcontractor names and assigned key trades. The form includes a detailed references section where contractors can document up to three separate work experiences, with each entry requiring contract/work type, contract number, total contract value, contracting agency or firm, site contact information, work period dates, and a description of duties performed. All handwritten responses must be legible. Completed forms must be returned via email to linda_richardson@nps.gov, with the point of contact being Linda Richardson at linda_richardson@ios.doi.gov. Certification by a company official is required, attesting to the accuracy and completeness of all submitted information.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P4526Q0016_Amd_0001.pdf | ||
| Sol_140P4526Q0016.pdf | ||
| Technical_Questionnaire.pdf | ||
| A04_Scope_of_Work_FIIS_MoistureShieldDecking.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PAST PERFORMANCE QUESTIONNAIRE/REFERENCES
0044037784 FIIS PROCUREMENT OF COMPOSITE DECKING
0044037784
RFQ SOL 140P4526Q00016
POINT OF CONTACT: LINDA RICHARDSON, linda_richardson@ios.doi.gov
Past Performance Questionnaire
Contractor Name: UEI #
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:
CONTRACTOR’S PROPOSED TEAM:
Do you plan to perform all the work? ___________________________ YES or NO answer
Are you proposing to use a subcontractor? ___________________________ YES or NO answer
List any proposed subcontractor(s) and indicate what key trade may be assigned to perform:
Subcontractor Name Key Trade
If you are proposing to use a subcontractor, describe what work activities you plan to perform:
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 #: ____________________________________________
POINT OF CONTACT: LINDA RICHARDSON, linda_richardson@ios.doi.gov
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 .