Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- AL-FWS ALABAMA ESFO-BOAT REPOWERING
- Solicitation number
- 140FS325Q0097
About this file
The file is a Past Performance Survey document designed to collect detailed information about a company's previous contract work. The survey requests comprehensive details about up to three contracts, including contracting agency, contract number, contract amount, project title and location, role (prime, joint venture, or subcontractor), period of performance, completion status, and quality control/safety plan implementation. The form requires respondents to provide contact information, company structure details, and certification of the past performance information.
The survey appears to be related to a Department of the Interior Fish and Wildlife Service solicitation (Solicitation Number: 140FS325Q0097) for an Alabama ESFO-Boat Repowering project. The survey template is designed to help evaluators assess a potential contractor's previous performance, experience, and capability to successfully execute government contracts by capturing key metrics about past contract work, including challenges encountered, resolution strategies, and overall project management approaches.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| B03_-_Service_Contract_Act_WD_2015-5717.pdf | ||
| Sol_140FS325Q0097.pdf | ||
| B08_-_SOW_Repower_two_Boats.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 .