Attachment C - Past Performance Questionnaire.pdf

PDF 416 KB Posted

Attached to
Complete Grounds Maintenance for Fort Jackson National Cemetery -- S208
Solicitation number
QSE--36C78625Q50066
Issued by

About this file

This is a Past Performance Questionnaire template that contractors must complete to demonstrate their relevant experience. The form requires contractors to list at least three contracts completed within the last 5 years, with priority given to National Cemetery Administration (NCA) contracts followed by non-NCA contracts.

The questionnaire captures key contract details including contract number, contractor information, contract type and value, award date, subcontracting extent, description of services provided, and contact information for references. This template is associated with a solicitation for Complete Grounds Maintenance at Fort Jackson National Cemetery in Columbia, SC, with a site visit scheduled for January 8, 2025. The solicitation is set aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB).

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Text version

PAST PERFORMANCE QUESTIONNAIRE

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 .