Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- Roof Replacement - MD
- Solicitation number
- 140FC225R0007
About this file
The Past Performance Survey is a document designed to collect detailed information about a company's previous contracts and performance history. The survey requests comprehensive details about up to three contracts, including contract agency, point of contact, contract number, contract amount, project title, location, role (prime, joint venture, or subcontractor), scope of work, subcontractor details, performance period, completion status, and quality/safety plan implementation.
The document is specifically associated with a Department of the Interior Fish and Wildlife Service solicitation (Number: 140FC225R0007) for a Roof Replacement project in Maryland. The survey requires the responding company to provide certification of past performance information, including the preparer's name, contact details, title, and signature, which will likely be used to evaluate the company's qualifications and capability to perform the roof replacement contract.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Sol_140FC225R0007_Amd_0001.pdf | ||
| Sol_140FC225R0007.pdf | ||
| Wages.pdf | ||
| A04_SOW.pdf | ||
| B08_Quote_Shedule.pdf |
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Text version
PAST OR PRESENT PERFORMANCE SURVEY
Your Company Name:
Street Address:
City, State and ZIP Code:
1. GENERAL BUSINESS INFORMATION
Date Firm Organized/Established:
Company President:
Vice President:
SAM.gov Unique Entity ID:
Is company a ; Partnership [ ] Separate entity [ ] Division [ ] N/A [ ]
2. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS
Complete and submit the information requested on page 2-4 below on prime contracts or subcontracts completed or in progress. Government contracts are preferred; but, if you have not performed Government contracts, indicate any other contracts completed or in progress.
a. First Contract:
Contracting Agency or Company:
Point of Contact:
Telephone Number:
Contract Number:
Contract/Subcontract Amount: $
Project Title and Location:
General Scope of Project:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Describe any Work You Subcontracted to Others:
Total Amount of Subcontract(s): $
Period of Performance: days Scheduled Completion Date:
Actual Completion Date:
Percentage of Work Completed:
Were You Terminated?
Did you use a Quality Control Plan? _________ Did you use a Safety Plan?_______________
Quality Control or Safety Problems encountered (if any):
How were the problems resolved?
b. Second Contract:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
c. Third Contract:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
4. Certification of Past Performance Information:
Type or Print Information
Name of Survey Preparer _______________________________Phone:_________________
E-Mail;___________________________
Title__________________________________________
Signature______________________________________
Date__________________________________________
File details come from the government source that posted it. Updated .