Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- NJ EDWIN B FORSYTHE NWR MARSH RESTORE
- Solicitation number
- 140FS325Q0096
About this file
The Past Performance Survey is a comprehensive document designed to collect detailed information about a company's previous contract work, specifically for the NJ Edwin B Forsythe NWR Marsh Restore solicitation (140FS325Q0096) with the Department of the Interior Fish and Wildlife Service. The survey requires businesses to provide extensive details about up to three contracts, including contracting agency, contact information, contract amount, project scope, performance role, subcontractor details, performance period, completion status, and quality/safety management practices.
The document captures critical past performance data across multiple dimensions, with sections for general business information, contract history, and a certification of performance information. Key sections require companies to document their contractual experience, including whether they served as a prime, joint venture, or subcontractor, total contract value, performance dates, percentage of work completed, termination status, and any quality control or safety plan implementations. The survey appears designed to help the Fish and Wildlife Service evaluate a potential contractor's capability and reliability for the marsh restoration project by examining their historical contract performance.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| B08_-_STATEMENT_OF_WORK_CBI.pdf | ||
| Sol_140FS325Q0096.pdf | ||
| B03_-_Service_Contract_Act_WD_2015-4195.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 .