04 Past Performance Information Worksheet.docx

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Attached to
Tyndall AFB Oil Water Separator
Solicitation number
FA481923R0001
Issued by

About this file

This document contains a past performance information worksheet for a federal contractor bidding on Solicitation Number FA481923R0001 to provide oil water separator cleaning and maintenance services at Tyndall Air Force Base in Florida. The contractor will be responsible for skimming, emptying, cleaning and testing oil water separators, sediment traps, grease traps and water from underground fuel storage containments located at the base on a routine scheduled basis as specified in appendices to the solicitation. The contractor must comply with all applicable government and industry standards in performing this work and will be monitored by the Contracting Officer's Representative.

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PAST PERFORMANCE INFORMATION WORKSHEET

ATTACHMENT 4, FA481922Q0028

A. Company Information

Offeror Name (Company/Division):
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Unique Entity ID:
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If the company or division performing this effort is different from the Offeror or any company

/corporate organizational change affect the relevance of this effort to the instant acquisition, note those changes below:

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B. Contract Information

Program Title:
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Contract Title
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1. Contract Agency or Customer:
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2. Contract Number:
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3. Delivery Task/Order (if applicable):
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4. Contract Type:
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5. Period of Performance*:
Start: Click here to enter a date

End: Click here to enter a date

6. Original Contract $ Value*:
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7. Current Contract $ Value*:
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8. Percentage of work performed if acted as subcontractor
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If amounts for 6 and 7 above are different, provide a brief description of the reason below:

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*Note: Do not include unexercised options

C. Provide a brief description of service provided and actual work performed under this contract reference and whether it was performed as ☐Prime, ☐Subcontractor or ☐ Other (If other is selected, please use the comment box below to provide explanation).

D. Primary Customer Points of Contact: (For Government contracts, provide current information on the Contracting Officer, in the format shown below. For commercial contracts, provide points of contact fulfilling these same roles.)

Contracting Officer

Name:
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Office:
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Address:
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Telephone:
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Email:
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E. Address any technical (or other) area about this contract/program considered relevant to the proposed effort. Include any unique aspects (scope, magnitude of effort, and complexity) that demonstrate relevancy in this effort. Provide evidence to support such relevance to the requirements as described in the PWS.

F. If applicable, explain corrective actions taken in the past, if any, for substandard performance and any current performance problems such as cost overruns, extended performance periods etc.

G. Describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. Also, estimate the percentage of the total proposed effort to be performed by this entity and whether this entity will be performing as the prime, subcontractor, or a corporate division related to the prime (define relationship).

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