05 - Past Performance Form.pdf

PDF 65 KB Posted

Attached to
Re-issuance of canceled solicitation N0018926RB003, DUSN(M) ITD IT Related Services
Solicitation number
N0018926RB003Rev0001
Issued by

About this file

This is a Past Performance Information Form template used to document an offeror's relevant contract experience for federal solicitation evaluations. The form captures essential details about a contractor's prior work to establish qualifications and performance history.

The form requires offerors to provide the company name, contract identification information, and customer details including the contracting organization name, location, and a verified point of contact with telephone number and email address. Offerors must document the total dollar value of work performed during the past five years, broken down by contract year, along with the average number of full-time equivalent personnel assigned annually and the complete period of performance. A detailed narrative section requires offerors to describe work performed with sufficient relevance to the current solicitation, followed by documentation of any quality, delivery, or cost problems encountered and the corrective actions implemented to address them, including effectiveness of those corrective measures. The form also requires disclosure of all subcontractors utilized, with descriptions of their work scope and annual dollar values. This template is designed to be repeated for multiple past performance examples, as indicated by the form numbering field at the top.

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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 .