Attachment D -- Past Performance Questionnaire Grounds Maintenance.pdf
PDF 32 KB Posted
- Solicitation number
- QSE--36C78625Q50037
About this file
This is a Past Performance Questionnaire template that contractors must complete to demonstrate their relevant experience for a grounds maintenance contract at Keokuk National Cemetery. The form requires contractors to provide details for at least three contracts completed within the last 5 years that are comparable in size, complexity, and scope to the current opportunity.
The questionnaire requests specific information including contract number, contractor details, contract type and value, award date, extent of subcontracting, percentage of work completed by the contractor, description of services provided, and contact information for references. The instructions specify that any National Cemetery Administration (NCA) contracts should be listed first, followed by non-NCA contracts. The form is designed to be duplicated to document multiple contract references, with one contract reference per form.
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Text version
PAST PERFORMANCE QUESTIONAIRE
INSTRUCTIONS: Contractor must identify previous federal, state, local government and or private contracts completed that are comparable in size, complexity and scope to the contract being evaluated.
List at least three (3) contracts for evaluation. Contracts must be either completed 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 .