zS02 St Pete Flooring - PAST OR PRESENT PERFORMANCE SURVEY.pdf
PDF 50 KB Posted
- Attached to
- Z2AZ--VB3247 Replace ground flooring
- Solicitation number
- 36C10E23Q0009
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C10E23Q0009 0001.docx | DOCX document | |
| P07 St Pete Flooring - Wage Determination.pdf | ||
| 36C10E23Q0009.docx | DOCX document | |
| zS02 St Pete Flooring - Purcem 31N.pdf | ||
| zS02 St Pete Flooring - Floor Pl. II.pdf | ||
| zS02 St Pete Flooring - Purcem Color Guide.pdf | ||
| zS02 St Pete Flooring - Purcem 22NA.pdf |
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Text version
PAST OR PRESENT PERFORMANCE SURVEY – 36C10E23Q0009
Your Company Name:__________________________________________________________________
Street Address:________________________________________________________________________
City, State, and Zip code:________________________________________________________________
1. GENERAL BUSINESS INFORMATION
Date Firm Organized/Established:___________________________
Company President:__________________________ Vice President:_____________________________
Unique Entity ID (UEI):_________________
Is company a: Partnership [ ] Separate Entity [ ] Division [ ] N/A [ ]
2. CONTRACTS/SUBCONTRACTS COMPLETED OR IN PROGRESS
Complete and submit the information requested on pages 2-4 below on prime contracts or subcontracts completed or in progress. Government contracts are preferred; but, if you have not performed Government contracts, indicate any other contracts completed or in progress.
a. First Contract:
Contracting Agency or Company:_________________________________________________________
Point of Contact:______________________________ Telephone Number:_______________________
Contract Number:____________________________ Contract/Subcontract Amount:$______________
Project Title and Location:_______________________________________________________________
General Scope of Project:________________________________________________________________
Your Role (Prime[ ], Joint Venture[ ] , or Subcontractor[ ]) and the work your firm performed:
Describe any work you subcontracted to others:______________________________________________
Total Amount of Subcontract(s):$___________________________
Period of Performance:_____________days
Scheduled Completion Date:___________________ Actual Completion Date:____________________
Percentage of Work Completed:_______________% Were you terminated?:_____________________
Did you use a Quality Control Plan?:________________ Did you use a Safety Plan?:______________
Quality Control or Safety Problems encountered (if any):_______________________________________
How was the problem resolved?:__________________________________________________________
b. Second Contract:
c. Third Contract:
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