Attachment D- PAST PERFORMANCE QUESTIONAIRE.pdf
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- Solicitation number
- QSE--36C78625Q50235
About this file
The document is a Past Performance Questionnaire template designed for contractors to provide details about their previous federal, state, local government, and private contracts. The form requires contractors to list at least three contracts completed or currently active within the last 5 years, with a specific note to prioritize National Cemetery Administration (NCA) contracts. The questionnaire captures comprehensive information about each contract, including contract number, contractor details, contract type, dollar value, award date, subcontracting extent, work percentage completed, service description, and contact information for the reference. Contractors are instructed to complete one form per contract reference, with an emphasis on demonstrating comparable size, complexity, and scope to the contract being evaluated.
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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 .