Attachment_6PPQuestionnaire.pdf

PAST PERFORMANCE QUESTIONNAIRE

For each contract presented you must provide the following information:

NAME - Performed as Prime or Subcontractor

Contract Number

Location of performance

Contract start and end date

Contract price

Commissioning firm

(1) Name

(2) Address

Description of contract work

Technical Point of Contact of Commissioning Firm

Name

Title

Telephone

Cellular

Fax

E-mail

Information on problems encountered on the identified contracts and the offeror’s corrective actions.

2. Please add additional information that you deem necessary for the Government’s evaluation such as the following:

• Evidence of customer satisfaction

• Test certificate (Certificato di Collaudo) or certificate of workmanlike Performed (Certificate di Regolare

Esecuzione)

• A copy of a completed US Government DD Form 2626 Performance Evaluation (Construction)