S01 - PAST PERFORMANCE QUESTIONAIRE.doc

This is a Past Performance Questionnaire form required for contractors bidding on Trash Removal Services for the National Cemeteries of the Alleghenies (NCOTA), a component of the Department of Veterans Affairs National Cemetery Administration. The form serves as a template for evaluating contractor qualifications based on prior experience.

Contractors must submit at least three (3) references for similar federal, state, local government, or private contracts completed within the last five years that are comparable in size and scope to the solicited work. The form requires one contract reference per submission and must identify the contract number, contractor name and contact information, contract dollar value, award date, type and extent of subcontracting, percentage of work completed by the contractor, and a detailed description of supplies or services provided including location and relevancy. Contractors with prior or current National Cemetery Administration contracts must list those references first, followed by non-NCA contracts. The form may be duplicated as needed to accommodate multiple references. This questionnaire is being used to evaluate past performance for solicitation QSE--36C78626Q50067, which is a Trash Removal Services contract with a performance period of May 1, 2026 through April 30, 2027, for a base year plus four option years.