05 - Past Performance Form.pdf

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Attached to
DUSN (M) ITD IT Related Services
Solicitation number
N0018926RB003
Issued by

About this file

This is a Past Performance Information Form template used by federal contractors to document and substantiate relevant prior work experience for competitive proposal submissions.

The form requires offerors to provide comprehensive details about previous contracts or orders performed within the past five years, including the contractor name, customer name and location, contract number, customer point of contact information with verified telephone and email, and total dollar amounts by contract year. For vehicle ordering contracts specifically, offerors must show both annual estimated contract amounts and actual order values performed. The form also requests staffing levels expressed as average full-time equivalents (FTE) per year and the complete period of performance with start and end dates. Offerors must provide a detailed description of work performed that demonstrates relevance to the current solicitation, document any quality, delivery, or cost problems encountered along with corrective actions taken and their effectiveness, and identify all subcontractors utilized with descriptions of their work scope and annual dollar values. The form is designed as a repeatable template allowing multiple past performance references to be submitted, with page numbering indicated as "Form ___ of ___" to accommodate multiple entries in a single proposal response.

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Text version

Past Performance Information Form Form ___ of ___

Name of Offeror:

Contract Number, order number, or identifier:

Customer Name & Location:

Customer Point of Contact (Name & Title):

Telephone Number (PLEASE VERIFY):

and e-mail address

Total dollar amount for this effort during the past five (5) years:

(For ordering vehicles, show both the annual estimated contract amount and the amount of orders actually performed):

(Show contract year and dollars)

Number of personnel (FTE) performing per year (avg.):

Period of Performance: From:

To:

Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the solicitation:

Quality, delivery, or cost problem(s); corrective action(s) taken; and effectiveness of the corrective action(s):

Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:

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