Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- NY-FWS LONG ISLAND NWR- JANITORIAL SERVI
- Solicitation number
- 140FS325Q0095
About this file
The Past_Performance_Survey.doc is a comprehensive document designed to capture detailed past performance information for potential federal contractors. The form requires companies to provide extensive details about their previous contracts, including up to three contract references with information such as contracting agency, project title, contract amount, period of performance, role (prime/subcontractor), scope of work, and performance metrics.
The survey is specifically linked to a Department of the Interior Fish and Wildlife Service solicitation (140FS325Q0095) for janitorial services at the Long Island National Wildlife Refuge. The document requires companies to disclose their organizational structure, key leadership, SAM.gov UEI number, and certification of past performance information. The form also seeks insights into quality control and safety plans, subcontracting details, contract completion status, and any performance challenges or terminations, which would be critical for evaluating a company's capability to perform future federal contract work.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Sol_140FS325Q0095_Amd_0001.pdf | ||
| Sol_140FS325Q0095.pdf | ||
| B08_-_SOW_-_Janitorial_-_LI_NWR_Complex.pdf | ||
| B03_-_Service_Contract_Act_WD_2015-4157.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 .