Past_Performance_Survey.doc

DOC document 35 KB Posted

Attached to
Concrete Sidewalk(s), Steps, and Site Work - WI Federal contract opportunity
Solicitation number
140FC225R0009
Issued by
Department of the Interior Fish and Wildlife Service

About this file

The Past Performance Survey is a comprehensive document designed to collect detailed historical contract performance information from a potential contractor. The survey requests extensive details about up to three previous contracts, including contract value, role (prime/subcontractor), project scope, performance period, completion status, and quality/safety management practices. Key sections include general business information, contract history, and a certification of past performance, with fields for documenting contract specifics such as contracting agency, point of contact, contract number, project location, percentage of work completed, and any terminations or quality control issues encountered.

The related federal contract opportunity is a solicitation (Number 140FC225R0009) from the Department of the Interior Fish and Wildlife Service for concrete sidewalk(s), steps, and site work in Wisconsin. Amendment 1 indicates additional provisions and clauses have been added to the original solicitation. While the specific details of the site work are not elaborated in the provided documents, the past performance survey suggests the potential contractor will need to demonstrate a robust history of successfully completing similar infrastructure or construction projects.

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Other files for this federal contract opportunity

Other files attached to Concrete Sidewalk(s), Steps, and Site Work - WI, newest first.
File Type Posted
Sol_140FC225R0009_Amd_0002.pdf PDF
B08_Bid_Sheet_Revised_0002.docx DOCX document
Sol_140FC225R0009_Amd_0001.pdf PDF
B08_Bid_Sheet.docx DOCX document
Sol_140FC225R0009.pdf PDF
SOW_SPECS.pdf PDF
Plans.pdf PDF
Wages.pdf 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 .