zS02 St Pete Flooring - PAST OR PRESENT PERFORMANCE SURVEY.pdf

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Attached to
J041--Replacement of Dehumidification units on roof top of building 46.
Solicitation number
36C10D23R0004
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About this file

This document contains a federal contract opportunity solicitation for the replacement of dehumidification units on the roof of a Department of Veterans Affairs building. The solicitation seeks a contractor to remove six aging dehumidification units and install new like-for-like replacement units at the Veterans Benefits Administration Regional Office building in St. Petersburg, Florida. The scope of work includes the removal of the old roof-mounted units and installation of new units, which will be connected to existing chiller lines and electrical conduits. The contractor must complete the installation within 12 weeks of receiving the first unit delivery. The contractor will also provide training on the new units and submit a project schedule. Safety and security requirements are outlined for performing work on the government premises.

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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:

File details come from the government source that posted it. Updated .