Past_Performance_Survey.docx
DOCX document 24 KB Posted
- Attached to
- VA-DIOMA PERNAMBUCCO FEASIBLILITY STUDY Federal contract opportunity
- Solicitation number
- 140FS326Q0150
About this file
This is a Past Performance Survey template document designed to evaluate contractor performance on federal contracts. The survey appears to be a standardized assessment tool used by the Department of the Interior Fish and Wildlife Service to gather feedback on past performance, likely in connection with the VA-DIOMA PERNAMBUCCO Feasibility Study solicitation (140FS326Q0150). The document serves as a template for collecting evaluative information from government representatives and other stakeholders who have direct experience with contractor performance on relevant projects. The survey would typically be distributed to assess factors such as technical capability, schedule adherence, cost management, quality of deliverables, and overall contractor responsiveness to government requirements. As a template document, it establishes the framework and standardized questions that will be used consistently across multiple performance evaluations to ensure comparative assessment of contractors' past work. This type of survey is a standard government practice for evaluating contractor qualifications and performance history during the proposal evaluation process.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140FS326Q0150.pdf | ||
| B08_-_Pernambuco_Traceability_Feasibility_Study_SOW_6-12-26.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:
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): $
Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: % Were You Terminated?
Quality Control or Safety Problems encountered (if any):
How were the problems resolved? _____
c. Third 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): $
Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: % Were You Terminated?
Quality Control or Safety Problems encountered (if any):
How were the problems resolved? _____
Type or Print Information Name of Survey Preparer
Phone:_________________ E-Mail;___________________________ Title Signature Date )4. Certification of Past Performance Information:
File details come from the government source that posted it. Updated .