Past_Performance_Survey.pdf
PDF 25 KB Posted
- Attached to
- Well Redevelopment & Decommissioning - VT
- Solicitation number
- 140FC225R0002
About this file
This document is a Past or Present Performance Survey. It requests the respondent to provide information on up to three completed or in-progress contracts, including the contracting agency, contract details, their role, and any quality control or safety issues encountered. The purpose is to allow the respondent to demonstrate their past performance and experience.
The related federal contract opportunity is for Well Redevelopment & Decommissioning services for the Department of the Interior Fish and Wildlife Service. This appears to be an amendment to a solicitation, with no further details provided on the specific products, services, or requirements.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Provisions___Clauses_0001.pdf | ||
| Sol_140FC225R0002_Amd_0001.pdf | ||
| Photos.pdf | ||
| A04_Scope_current.pdf | ||
| B08_Bid_Shedule.pdf | ||
| Sol_140FC225R0002.pdf | ||
| B03_Wages.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:
Point of Contact: Telephone Number:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: %
c. Third Contract:
Point of Contact: Telephone Number:
Your Role (Prime [ ], Joint Venture [ ], or Subcontractor [ ]) and the work your firm performed:
Scheduled Completion Date:
Actual Completion Date: Percentage of Work Completed: %
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 .