Attachment D -- Past Performance Questionnaire Grounds Maintenance.pdf
PDF 32 KB Posted
- Attached to
- Amendment 2 36C78625Q50038 Rock Island Grounds Maintenance & Irrigation Maintenance Service -- S208
- Solicitation number
- QSE--36C78625Q50038
About this file
The document is a Past Performance Questionnaire template for grounds maintenance contracts, specifically designed to capture contractor performance history for evaluation purposes. The form requires contractors to list at least three comparable contracts completed within the last 5 years, with a preference for National Cemetery Administration (NCA) contracts to be listed first. The questionnaire seeks comprehensive details including contract number, contractor information, contract dollar value, award date, subcontracting percentages, service descriptions, and contact information for reference verification.
This questionnaire corresponds to a specific VA solicitation (QSE--36C78625Q50038) for Rock Island National Cemetery grounds and irrigation maintenance services. The contract is a hybrid IDIQ (Indefinite Delivery/Indefinite Quantity) with a base year and four option years, covering maintenance services at Building 118, Rodman Avenue, Moline, IL. The solicitation uniquely incorporates both Service Contract Act (SCA) and Davis Bacon Act (DBA) wage determinations, with specific contract line items priced according to different wage standards. The contract is issued by the Department of Veterans Affairs National Cemetery Administration and requires detailed past performance documentation from potential contractors.
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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 .