S02_Attachment-8_Business Management-Past Performance Questionnaire.pdf

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Y1PZ--Copy of Install New Irrigation Well at Houston National Cemetery, Project: 789CM3920-16 Job-5 "Tiered Evaluation"
Solicitation number
36C78620R0087
Issued by

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This document contains a business management questionnaire for past performance on federal contracts. Offerors are requested to identify up to three similar past federal, state, or local government contracts or private sector contracts from the last five years that are relevant to the new solicitation for installing a new irrigation well at the Houston National Cemetery. For each past contract reference, offerors are asked to provide the name of the contracting company or agency, point of contact information, contract number, type of contract, contract value, date of award, current status, and whether the offeror served as the prime contractor or subcontractor. The new solicitation is identified as 36C78620R0087 and is being reissued as a Tiered Evaluation due to receiving no proposals in response to the previous solicitation 36C78620R0054 for the same irrigation well project.

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BUSINESS MANAGEMENT QUESTIONNAIRE-/PAST PERFORMANCE

INSTRUCTIONS: Offerors must identify previous federal, state, and local Government and private contracts that they have completed and that are similar to the contract being evaluated. List at least three (3), past contracts for evaluation limited to the last five (5) years.

(One contract reference per form, Form may be duplicated)

NOTE: If you have performed any National Cemetery Administration contracts list them first.

Contractor (you) Information:

Name: _____________________________________________________________________

Address: ___________________________________________________________________

Telephone Number: ___________________________________________________________

E-mail: ______________________________________________________________________

Contract Information:

Name of company/agency you provided service for: ___________________________________

Point of Contact (POC) Name:____________________________

POC Phone No.:__________________________

POC Email:__________________________________________

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 contractor?______________ were you the Sub contractor? ___________

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