J-1-3_Past_Performance_and_References.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
Demountable Containers Camp Federal contract opportunity
Solicitation number
19AQMM18R0160
Issued by
Department of State Office of Acquisition Management

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J-1-3_Past_Performance_and_References

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J-1-1_Statement_of_Work_(A0001)_(TRACK).pdf PDF
19AQMM18R0160_A0001.pdf PDF
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J-2-1_Mat_Prod_Substitution_Form.doc DOC document
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Past Performance References

J-1-3 PAST PERFORMANCE & REFERENCES
Indicate the past performance information of the firm in similar projects performed in the last five (5) years. Include maximum 10 projects. Do not include certifications or contract copies. In the case we needed we will require it afterwards.
OneTwoThreeFourFive
NAME OF THE CLIENT (CONTRACTING PARTY)
CLIENT ADDRESS
CLIENT TELEPHONE NUMBER
CLIENT POINT OF CONTACT (Name & Title)
POINT OF CONTACT EMAIL ADDRESS
CONTRACT NUMBER
TYPE OF CONTRACT( * 1)
NAME OF THE CONTRACT OR PROJECT
PROJECT LOCATION
PROJECT STARTING DATE
PROJECT FINISH DATE
WAS THE PROJECT FINISHED ON TIME ( Explain if needed)
SQUARE METERS OR UNITS (Indicate unit measurements)
CONTRACT COST IN PESOS
CONTRACT COST IN MONTHLY MINIMUM SALARIES
INDICATE IF IN THIS PROJECT YOU WERE THE PRIME CONTRACTOR , SUBCONTRACTOR OR ASSOCIATE
INDICATE THE PERCENTAGE OF PARTICIPATION OF YOUR FIRM IN THIS PROJECT
BRIEF DESCRIPTION OF ACTIVITIES BEING PERFORMED
COMPARISON OF THE WORK PERFORMED WITH THIS SOLICITATION ( *2 )
BRIEF DESCRIPTION OF TECHNICAL PROBLEMS ENCOUNTERED AND THE WAY THEY WERE SOLVED
METHOD OF ACQUISITION (Public solicitation, private or non competed) award criteria
COST/PRICE MANAGEMENT HISTORY (any cost overruns and under runs, and cost growth and changes)
HAVE YOU HAD ANY CONTRACT TERMINATIONS IN THE LAST TEN (10) YEARS?
REASONS FOR TERMINATIONS (for contractor convenience ó for default or other)
(*1)Consulting, construction, design, work oversight, delegated administration If you are not a company explain if you were the

superintendent, director or other.

(*2) Here you should indicate which activities performed are similar to the work being contracted.
I certify that the information is accurate and verifiable

Signature of the Legal Representative and Date Date

Name (Print) ID Number

Past Performance Questionnaire Attachment J-1-3

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