Attachment D -PAST PERFORMANCE QUESTIONAIRE.docx

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

This document is a Past Performance Questionnaire that provides instructions for contractors to identify previous federal, state, local government, and private contracts that are similar in size and scope to the contract being evaluated. Contractors are required to list at least three (3) contracts completed within the last five (5) years, with one contract reference per form. Contracts must be either competed or current, and the contractor must provide details such as the contract number, contractor name and contact information, contract type and dollar value, description of the supplies/services provided, and the relevancy of the work. The instructions state that contractors should list any National Cemetery Administration (NCA) contracts first, followed by non-NCA contracts.

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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 .