Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- Road Resurface and Improvements - ME Federal contract opportunity
- Solicitation number
- 140FC225R0020
About this file
The Past Performance Survey is a detailed document designed to collect comprehensive information about a company's contract history and performance. The survey requests extensive details about up to three contracts, including the contracting agency, contract number, project scope, contract amount, performance period, role (prime, joint venture, or subcontractor), and key performance metrics such as completion percentage, quality control plans, safety plans, and any encountered problems.
The survey is associated with a Department of the Interior Fish and Wildlife Service solicitation (140FC225R0020) for a Road Resurface and Improvements project in Maine. The form requires companies to provide their general business information, SAM.gov Unique Entity ID, company structure, and a certification of past performance information. The document serves as a tool for potential contractors to demonstrate their qualifications, track record, and capability to successfully execute government contracts by providing detailed performance history across multiple projects.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140FC225R0020.pdf | ||
| B08_Tech_Specs.pdf | ||
| Wages.pdf | ||
| B08_Drawing.pdf | ||
| B08_Photos.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 .