B08-SOL_W912PF21Q0015_ Attach1_Past Performance Questionnaire.pdf

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Attached to
Inspection, Maintenance, and Replacement of Backflow Preventers installed at the military installations of USAG Italy, Vicenza
Solicitation number
W912PF21Q0015
Issued by

About this file

This pre-solicitation notice seeks capabilities statements from contractors interested in providing inspection, testing, maintenance, and repair services for backflow preventers installed at various U.S. military installations in Italy. The services are required to ensure an effective cross-connection control program that protects against contaminants and pollutants. The contract will have a one-year base period and four optional one-year periods, with performance taking place at installations in Vicenza. Capabilities statements must be submitted by April 9, 2021 to be considered and must include documentation such as a Chamber of Commerce certificate no more than six months old showing the business provides plumbing installation, maintenance, and repair services. The selected contractor must have an active SAM registration including a DUNS number and NATO code.

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ATTACHMENT 1

SOLICITATION W912PF21Q0015

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

ATTACHMENT 1

Explain in detail 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.

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