Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- PAVING - Parking Lot and Road - MD
- Solicitation number
- 140FC225R0022
About this file
The Past Performance Survey is a comprehensive document designed to collect detailed information about a company's prior contract experiences, specifically for the Department of the Interior Fish and Wildlife Service's parking lot and road paving solicitation (140FC225R0022). The survey requires businesses 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), subcontractor details, performance period, completion status, and quality control/safety plan information.
The survey template captures critical business information such as company organizational details, SAM.gov Unique Entity ID, and company structure, while also requiring certification of past performance information by a designated company representative. The document serves as a comprehensive tool for evaluating a company's prior performance, contract management capabilities, and potential suitability for the Department of the Interior's paving project, with sections allowing detailed documentation of contract execution, challenges encountered, and resolution strategies.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| B08_parking_lot_2IMG_0161.jpeg | JPEG file | |
| B08_Wages.pdf | ||
| B08_Causeway_Map__2.pdf | ||
| Sol_140FC225R0022.pdf | ||
| B08_Paving_Map__3.pdf | ||
| B08_parking_lot1IMG_0162.jpeg | JPEG file | |
| B08_Parking_Lot_Map1.pdf | ||
| B08_Bid_Sheet.pdf | ||
| B08_parking_lot0163.jpeg | JPEG file | |
| B08_SOW.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 .