Past_Performance_Survey.pdf
PDF 128 KB Posted
- Attached to
- Feasibility Assessment Study - RI Federal contract opportunity
- Solicitation number
- 140FC226R0014
About this file
This is a Past or Present Performance Survey form designed to collect contract performance history from companies bidding on federal contracts.
The form requests general business information including company name, address, date established, key personnel (President and Vice President), Dun & Bradstreet number, and business structure (partnership, separate entity, or division). The primary focus is documenting up to three completed or in-progress contracts or subcontracts, with preference given to government contracts. For each contract, respondents must provide the contracting agency or company name, point of contact, contract number, contract amount, project title and location, and general scope of work. The form requires detailed information about the respondent's role (prime contractor, joint venture partner, or subcontractor), work performed, any subcontracted work and amounts, period of performance in days, scheduled and actual completion dates, percentage of work completed, termination status, and whether quality control and safety plans were implemented. Additionally, respondents must describe any quality control or safety problems encountered and explain how those issues were resolved. The survey concludes with a certification section requiring the preparer's name, phone number, email, title, signature, and date. This template allows government agencies to evaluate a company's past performance capabilities and track record before awarding contracts.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| B09_Amd2_Report_0002.pdf | ||
| Sol_140FC226R0014_Amd_0002.pdf | ||
| B09_Amd2_Q_A_0002.pdf | ||
| Sol_140FC226R0014_Amd_0001.pdf | ||
| Sol_140FC226R0014.pdf | ||
| SOW_Final.pdf | ||
| B08_Fee_Schedule-Bid_Sheet.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:
Dun & Bradstreet Number: __
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__________________________________________
| PAST OR PRESENT PERFORMANCE SURVEY |
| 1. GENERAL BUSINESS INFORMATION |
| 2. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS |
File details come from the government source that posted it. Updated .