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6. Past Performance Data Worksheet

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15M50019QA4400012_-_0004_Signed.pdf PDF
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(Attachment # 6)

VEHICLE TOWING, STORAGE, MAINTENANCE & DISPOSAL SERVICES

NORTHERN, CENTRAL AND SOUTHERN DISTRICTS OF ILLINOIS, NORTHERN AND SOUTHERN DISTRICTS OF INDIANA, DISTRICT OF KANSAS, EASTERN AND WESTERN DISTRICTS OF MICHIGAN, EASTERN AND WESTERN DISTRICTS OF MISSOURI AND EASTERN AND WESTERN DISTRICTS OF WISCONSIN

SOLICITATION NO.: 15M50019QA4400012

1. Name of Contracting Activity/Organization:

2. Contract Number:

3.

Contract Type:

Negotiated

Sealed Bid

Labor Hour (IDIQ Cost reimbursement Fixed Price Other

4 Total Contract Value: $

5. Status: Active Completed

Explanation for variance:

7. Nature and Scope of the work:

8. Contracting Officer & Telephone Number:

E-mail address:

9. Program Manager & Telephone Number:

10. Administrative Contracting Officer (if different from #8):

11. Contracting Officer’s Representative (COR) and Telephone Number:

12. List of major subcontracts and their contribution to the overall value of the contract (percentage):

13. Any problems or mitigating circumstances which the offeror would like to have known to balance the evaluations of those named above:

A SEPARATE WORKSHEET MUST BE COMPLETED FOR THREE (3) FEDERAL GOVERNMENT

OR COMMERCIAL CONTRACTS PERFORMED DURING THE LAST 3 YEARS THAT ARE

SIMILAR AND RELEVANT TO THE PERFORMANCE REQUIREMENTS IN THE

SOLICITATION.

-USE ADDITIONAL PAPER IF NECESSARY-

PAST PERFORMANCE DATA WORKSHEET

6.

Date of Award:

Original estimated completion date:

Actual completion date:

A SEPARATE WORKSHEET MUST BE COMPLETED FOR THREE (3) FEDERAL GOVERNMENT OR COMMERCIAL CONTRACTS PERFORMED DURING THE LAST 3 YEARS THAT ARE SIMILAR AND RELEVANT TO THE PERFORMANCE REQUIREMENTS IN THE SOLICITATION.

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