B.08 Attach 6 - Past Perf Questionnaire (24R1004).pdf
PDF 504 KB Posted
- Attached to
- Camp Guernsey Dining Facility IDIQ
- Solicitation number
- W912L324R1004
About this file
This document is a Past Performance Questionnaire related to a federal contract opportunity. The questionnaire requests details on a past project, including the project name and location, contract type, scope of work, dates of performance, pricing information, and any problems encountered. It also asks for the names and roles of key personnel who worked on the project. The related federal contract opportunity is for an Indefinite Delivery/Indefinite Quantity (IDIQ) contract to maintain a fully functioning food service dining facility located at Camp Guernsey, Wyoming. The contract will be awarded by the Department of the Army Wyoming Army National Guard.
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Text version
FFOR OFFICAL USE ONLY
RFP W912L3-24-R-1004
ATTACHMENT 6 - PAST PERFORMANCE QUESTIONNAIRE
FOR OFFICAL USE ONLY
1.a. Project Name and Location: 1.b. Mark involvement for this project (Check the one that applies): (If other, describe in Block 26) Prime Contractor Sub-Contractor Joint Venture Other
2. Project owner’s complete address:
3a. Technical Point of Contact for project (Name, title, address, phone, fax, email):
4b. Contracting Point of Contact for the project (Name, title address, phone, fax, email):
4. Describe contract type (Service, etc), Nature and Scope of work:
4a. Current Status of Contract (Check the one that applies):
Work continuing, on schedule (must be greater than 50% complete) Work continuing, behind schedule Work completed, no further action pending Work completed, routine administrative action pending
Work completed, claims negotiation pending/underway Work completed, litigation pending/underway Terminated for convenience Terminated for default Other (explain in Block 26, Additional Comments)
5. Date work was begun (Day/Month/Year):
6. Date work was completed (Day/Month/Year):
Estimated Date of Completion: / / Actual Date of Completion*: / / *leave blank if project is ongoing
7. If actual completion date is later than initial completion date, explain why:
8. Initial contract price Amount for which Offeror was responsible:
$ _________________.00
9. Final invoiced amount (or amount invoiced to date) Amount for which Offeror was responsible:
$ _________________.00
10. If final invoiced amount greater than initial contract amount, explain why:
FFOR OFFICAL USE ONLY
RFP W912L3-24-R-1004
ATTACHMENT 6 - PAST PERFORMANCE QUESTIONNAIRE
FOR OFFICAL USE ONLY
11. Project Name and Location:
12. Explain any problem(s) encountered, and solution to resolve problem(s):
13. Were there any safety problems or accidents? Explain:
Provide, based on the job description, the names of the following personnel that worked on this project in following positions:
Job Description: First Name, Last Name:
Status During Project
(Check the one that applies):
14. 14a. 14b. In-House Subcontractor
15b. In-House Subcontractor
16b. In-House Subcontractor
17. Additional Comments:
Please attach any Letters of Appreciation that apply ONLY to this project to this form.
File details come from the government source that posted it. Updated .