Attachment C - Past Performance Questionnaire - Georgia NC.pdf
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- Solicitation number
- QSE--36C78625Q50199
About this file
The document is a Past Performance Questionnaire template for federal contract opportunities, specifically designed to capture detailed information about previous contracts performed by a contractor. The form requires offerors to list between three to five contracts completed within the last three years, with a preference for listing National Cemetery Administration (NCA) contracts first, followed by non-NCA contracts. Key sections include contractor information, contract details, point of contact information, and spaces to describe the services provided, contract complexity, and percentage of work completed.
The template is specifically associated with a Department of Veterans Affairs National Cemetery Administration solicitation (QSE--36C78625Q50199) for Complete Grounds Maintenance at Georgia National Cemetery. The solicitation seeks a grounds maintenance contract with a base year and four potential option years. Contractors must provide comprehensive details about their past performance, including contract value, award date, completion status, role (prime or subcontractor), and a description of services performed that demonstrate relevance to the current solicitation requirements.
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PAST PERFORMANCE QUESTIONNAIRE
INSTRUCTIONS: Offerors must identify previous federal, state, local government, and or private contracts completed and that are similar in size and scope to the contract being evaluated. List at least three (3), but no more than five (5) contracts performed within the last three (3) years. (One contract reference per form; Form may be duplicated)
NOTE: List any National Cemetery Administration (NCA) contracts currently working or previously worked first followed by Non-NCA contracts.
Contractor (you) Information:
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
Telephone Number: ___________________________________________________________________
E-mail: ______________________________________________________________________________
Contract Information:
Name of company/agency you provided service for: __________________________________________
Contract Number: ____________________________________________________________________
Type of Contract: _____________________________________________________________________
Contract Dollar Value: _________________________________________________________________
Date of Award: _______________________________________________________________________
Status: Completed, yes____ No____ If not completed, projected completion date___________________
If not completed, why? _________________________________________________________________
Were you the Prime? ________ were you the Sub? _______
Point of Contact Information for the company/agency you serviced:
Name of the Contract Person & their position: _______________________________________________
Address: ____________________________________________________________________________
Telephone Number: ___________________________________________________________________
E-mail: _____________________________________________________________________________
Description of Supply/Service(s) provided, location & relevancy of work:
Complexity of Product/Service, if any:
Percentage of Work completed by your company/by subcontractor: (If less than 100%, please explain the tasks you performed.)
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