EXPERIENCE AND PAST PERFORMANCE Form - Commercial Items.pdf

PDF 80 KB Posted

Attached to
Maintenance & repair of furnaces
Solicitation number
19BE2025Q0004
Issued by

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The document is an Experience and Past Performance form for a solicitation related to commercial items for the Department of State US Embassy Brussels. The form provides a template for offerors to document their previous contract experience, with columns for customer name and address, telephone numbers of customer personnel, contract number, brief work description and responsibilities, and any litigation history within the last 5 years. The form is part of Solicitation Number 19BE2025Q0004 for maintenance and repair of furnaces, and is specifically identified as Section 3, Solicitation Provisions, with an addendum to standard federal procurement form 52.212-1. The table is currently blank, indicating it is to be completed by the potential contractor as part of their proposal submission.

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Other files

File Type Posted
SF-30 Solicitation 19BE2025Q0004-0001.pdf PDF
19BE2025Q0004 - RFQ.pdf PDF
CERTIFICATION FEDERAL A-D LAW.pdf PDF
Question Submission Form.pdf PDF
Question Answer Form 19BE2025R0002.pdf PDF
EXPERIENCE AND PAST PERFORMANCE Form - Commercial Items.pdf PDF
Question Submission Form.pdf PDF

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Experience and Past Performance Offeror: Solicitation Number: 19BE2025Q0004

Section 3, Solicitation Provisions, ADDENDUM TO 52.212-1.

Customer's name and address

Telephone numbers of customer's lead contract and technical personnel

Contract number Brief description of the work, including responsibilities

Any litigation currently in process or occurring within last 5 years

Customers name and addressRow1:
Telephone numbers of customers lead contract and technical personnelRow1:
Contract numberRow1:
Brief description of the work including responsibilitiesRow1:
Any litigation currently in process or occurring within last 5 yearsRow1:
Customers name and addressRow2:
Telephone numbers of customers lead contract and technical personnelRow2:
Contract numberRow2:
Brief description of the work including responsibilitiesRow2:
Any litigation currently in process or occurring within last 5 yearsRow2:
Customers name and addressRow3:
Telephone numbers of customers lead contract and technical personnelRow3:
Contract numberRow3:
Brief description of the work including responsibilitiesRow3:
Any litigation currently in process or occurring within last 5 yearsRow3:
Customers name and addressRow4:
Telephone numbers of customers lead contract and technical personnelRow4:
Contract numberRow4:
Brief description of the work including responsibilitiesRow4:
Any litigation currently in process or occurring within last 5 yearsRow4:
Customers name and addressRow5:
Telephone numbers of customers lead contract and technical personnelRow5:
Contract numberRow5:
Brief description of the work including responsibilitiesRow5:
Any litigation currently in process or occurring within last 5 yearsRow5:
Text2:

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