Past_Performance_Survey.doc
DOC document 35 KB Posted
- Attached to
- SC-FWS CAPE ROMAIN NWR - Mammalian Trapping
- Solicitation number
- 140FS325Q0155
About this file
The document is a Past Performance Survey template designed for contractors to provide detailed information about their previous contract work. The survey requires comprehensive details about up to three contracts, including contracting agency, project scope, contract amount, performance period, role (prime/subcontractor), percentage of work completed, quality control and safety plans, and any encountered problems.
The template seeks to capture key business and contract performance information, with sections for general business details, contract history, and a certification of past performance. Potential respondents are asked to provide their company information, contract specifics, contact details, and a signed verification of the submitted information. While the template is generic, it appears to be associated with a specific Department of the Interior Fish and Wildlife Service solicitation (Solicitation Number: 140FS325Q0155) for mammalian trapping services at Cape Romain National Wildlife Refuge.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| B03_-_Service_Contract_Act_WD_2015-4427.pdf | ||
| B08_-_Trapping_PWS_2025.pdf | ||
| Sol_140FS325Q0155.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 .