PAST PERFORMANCE QUESTIONNAIRE New.docx
DOCX document 13 KB Posted
- Solicitation number
- 36C78621Q0133
About this file
This solicitation is for turf fertilization and broadleaf/crabgrass weed control services at Culpeper National Cemetery. The Department of Veterans Affairs seeks a firm-fixed price contract for six scheduled applications per year at the cemetery, including fertilization, pre-emergent and post-emergent herbicide applications, aeration, and overseeding. The base period of performance is from date of award through April 7, 2022, with four one-year option periods. Responses are due by April 5, 2021. The set-aside is for SDVOSB/VOSB/SB concerns. Services shall be provided in accordance with the specified application schedule and requirements for herbicides, fertilization, aeration, and seeding. Pricing is requested for the base year and each option period.
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Other files
| File | Type | Posted |
|---|---|---|
| 15-4283.pdf | ||
| 36C78621Q0133.docx | DOCX document |
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PAST PERFORMANCE QUESTIONNAIRE
INSTRUCTIONS: Offerors must identify previous federal, state, and local government and private contracts that they have completed and that are similar to the contract being evaluated. List at least three (3), for evaluation limited to the last three years. (One contract reference per form, Form may be duplicated) Any subcontractors to be used shall also include three forms each.
Contractor (you) Information:
Name: _____________________________________________________________________ Address: ___________________________________________________________________ Telephone Number: ___________________________________________________________ E-mail: ______________________________________________________________________
Contract Information:
Name of company/agency you provided service for: ___________________________________ Contract Number: _____________________________________________________________ Type of Contract: _______________________________________________________________ Contract Dollar Value: ___________________________________________________________ Date of Award: _________________________________________________________________ Status: Completed, Yes____ No____ If not completed, projected completion date____________ If not completed, why?___________________________________________________________ Were you the Prime? ________ were you the Sub? _______
Point of Contact Information for the company/agency you serviced:
Name of the Contract Person & their position: ________________________________________ Address: ______________________________________________________________________ Telephone Number: _____________________________________________________________ E-mail: ________________________________________________________________________
Description of Supply/Service(s) provided, location & relevancy of work:
Complexity of Product/Service, if any:
Percentage of Work completed by your company/by subcontractor:
(End of Section)
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