Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- NY-MONTEZUMA NWR-HERBICIDE APPLICATION Federal contract opportunity
- Solicitation number
- 140FS325Q0064
About this file
The Past_Performance_Survey.doc is a comprehensive document designed to capture detailed historical contract performance information from potential contractors. The survey requests extensive details about up to three previous contracts, including contract amount, project scope, performance role (prime, joint venture, or subcontractor), contract duration, completion status, and quality/safety plan implementation. Key sections require information about the contracting agency, point of contact, contract number, work performed, subcontracted work, percentage of completion, termination status, and any quality control or safety problems encountered.
The survey is related to a specific federal contract opportunity (Solicitation Number: 140FS325Q0064) for herbicide application at the Montezuma National Wildlife Refuge, issued by the Department of the Interior Fish and Wildlife Service. The document is structured to help the government evaluate a potential contractor's past performance, competency, and reliability by providing a systematic method for contractors to document their previous contract experiences and achievements. The final section includes a certification area for the survey preparer to validate the information provided, requiring a signature, contact details, and date of submission.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140FS325Q0064.pdf | ||
| B03_-_Service_Contract_Act_WD___2015-4247_-_Crawford_County_PA.pdf | ||
| B03_-_Service_Contract_Act_WD___2015-4181_-_Seneca_County_NY.pdf | ||
| B08_-_PWS_Erie_Montezuma_Cooperative_Herbicide_Spraying_FY25_doc.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 Identifier (UEI):
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 .