Attachment D- PAST PERFORMANCE QUESTIONAIRE.pdf
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- Solicitation number
- QSE--36C78625Q50154
About this file
The document is a Past Performance Questionnaire template used to document a contractor's previous contract experience. The form requires contractors to list at least three contracts completed within the last five years that are comparable in size, complexity, and scope to the contract being evaluated. The instructions specifically note that National Cemetery Administration (NCA) contracts should be listed first, followed by non-NCA contracts.
The questionnaire captures comprehensive contract details including contract number, contractor information, contract type, dollar value, award date, subcontracting details, percentage of work completed, description of services provided, and contact information for the reference. The form is designed to be duplicated, allowing contractors to provide multiple contract references to demonstrate their past performance and capability in meeting contract requirements.
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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 .