ATTACHMENT_1_Past_Performance_Questionnaire.pdf

SOLICITATION W912PF-16-R-0004

PAST PERFORMANCE QUESTIONNAIRE

OFFEROR’S NAME:___________________________________________

For each project presented provide the following information. You may add any other information that you deem necessary for the Government’s evaluation.

Contract number

Contract award date

Indicate if you performed as prime Contractor or as subcontractor

Contract performance period (indicate starting and ending date)

Date contract was completed. If contract is not completed explain why

Initial contract price

Current/final contract price

Reasons for differences between initial contract price and current/final contract price

Explain in details why you believe the project presented is relevant to the work described in this solicitation

Commissioning Firm (Name, Address)

Technical Point of Contact and Alternate of Commissioning Firm (name, title, telephone number, cellular number, fax number, e-mail address)

Provide information on any problem encountered on the performance of this contract and your corrective actions (use additional paper if necessary)

If available, please attached:

1) Evidence of customer satisfaction such as: performance evaluation, special commendation, recognition, letters of appreciation, awards of excellence, offeror’s quality certifications etc.

2) Test Certificate (Certificato di Collaudo) or Certificate of Workmanlike Performed (Certificato di Regolare Esecuzione)

3) A copy of DD Form 2626, Performance Evaluation (Construction), if the project was performed in the behalf of the US Government.