Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- HVAC Repair and Remediation Services - LA
- Solicitation number
- 140FC225R0014
About this file
The Past_Performance_Survey.doc is a comprehensive document designed to collect detailed historical contract performance information from potential contractors. The survey requires companies to provide extensive details about up to three past contracts, including contracting agency, contract number, contract amount, project scope, performance role (prime, joint venture, or subcontractor), period of performance, completion status, and quality control/safety plan implementation.
The document is specifically related to a Department of the Interior Fish and Wildlife Service solicitation (140FC225R0014) for HVAC Repair and Remediation Services in Los Angeles. The survey serves as a critical component for evaluating a company's past performance, allowing the agency to assess the contractor's capabilities, reliability, and experience in executing similar projects. Key sections require respondents to disclose information about contract execution, subcontracting practices, potential performance issues, and their resolution, which will likely be used to determine contractor qualification and competitiveness for the HVAC repair and remediation services opportunity.
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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 .