Attachment D -PAST PERFORMANCE QUESTIONAIRE.docx

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Attached to
36C78624Q50097 | West Virginia and Grafton National Cemetery Herbicide and Fertilizer Services. Amended -- S208
Solicitation number
QSE--36C78624Q50097
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About this file

The document provided is a Past Performance Questionnaire template. It instructs the contractor to identify at least three previous federal, state, local government, or private contracts completed within the last five years that are similar in size and scope to the contract being evaluated. The contractor must provide details on the contract number, type of contract, dollar value, date of award, subcontracting percentage, description of services, and contact information for the previous client. The document indicates that the contractor should list any National Cemetery Administration (NCA) contracts first, followed by non-NCA contracts. This Past Performance Questionnaire supports the federal contract opportunity for Herbicide and Fertilizer Services at the West Virginia National Cemetery and Grafton National Cemetery.

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PAST PERFORMANCE QUESTIONAIRE

INSTRUCTIONS: Contractor must identify previous federal, state, local government and or private contracts completed that are similar in size and scope to the contract being evaluated. List at least three (3) contracts for evaluation. Contracts must be either competed or current within the last (5) years. One contract reference per form.

Note: List any National Cemetery Administration (NCA) contracts currently working or previously worked first followed by Non-NCA contracts.

Past Performance Questionnaire

Contract Number

Contractor ( Name Address, Zip Code)

Telephone Number

Email Address

Type of Contract

Contract Dollar Value

Date of Award (if not completed provide status)

Type/Extent of Subcontracting

Percentage of Work completed by the Contractor

Description of Supply/Services provided, location & relevancy of work

Address, Telephone Number & Email of the Contact Person and Position

Form may be duplicated

File details come from the government source that posted it. Updated .