Past_Performance_Questionnaire_STEA_(1).pdf
PDF 80 KB Posted
- Attached to
- STEA - TREE, BRUSH, REMOVAL AND PRUNING Federal contract opportunity
- Solicitation number
- 140P4523Q0047
About this file
This document contains a past performance questionnaire and references form for solicitation number 140P4523Q0047 for tree, brush removal and pruning services. The National Park Service Northeast Region is seeking information about the offeror's previous experience completing similar tree removal work for land management agencies. The form requests details on three past contracts within the last five years such as contract number, value, description of duties performed, agency client and performance references with contact information. Offerors must certify that the past performance information and references provided are complete and correct. Submission of a completed past performance questionnaire and references form is required for the agency to evaluate an offeror's capability to successfully perform the tree removal work solicited under contract number 140P4523Q0047.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140P4523Q0047_Amd_0002.pdf | ||
| A04_Updated_Statement_of_Work_0002.pdf | ||
| B08_RFQ140P4523Q0047__0001.pdf | ||
| Sol_140P4523Q0047_Amd_0001.pdf | ||
| Technical_Questionnaire_STEA_(1).pdf | ||
| A04_SOW_Tree_Removal_STEA_(1).pdf | ||
| Sol_140P4523Q0047.pdf | ||
| Pricing_Tree_Removal_Worksheet.xlsx | XLSX spreadsheet | |
| B03_Wage_Determination_2015-4239_STEA.pdf |
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Text version
PAST PERFORMANCE QUESTIONNAIRE/REFERENCES
RFQ1626172
0040617251 STEA TREE REMOVAL
POINT OF CONTACT: MARY HALLMON mary_hallmon@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:
0040617251 STEA TREE REMOVAL
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
0040617251 STEA TREE REMOVAL
Brief description of duties
Experience No. 3
Brief description of duties:
Return form to:
Email: mary_hallmon@nps.gov mailto:mary_hallmon@nps.gov
Type of Business:
File details come from the government source that posted it. Updated .