19BE2025Q0670 - Experience and Past Performance Form.pdf

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Attached to
Purchase and delivery of 2 SUVs for the U. S. Embassy Brussels
Solicitation number
19BE2025Q0670
Issued by

About this file

This document is an Experience and Past Performance form for Federal Solicitation Number 19BE2025Q0670, associated with the U.S. Embassy Brussels vehicle procurement. The form provides a structured template for offerors to document their previous contract experience, including columns for customer details, contract numbers, work descriptions, and any litigation history. Specifically designed for the solicitation to purchase two Sports Utility Vehicles (SUVs), the form requires potential vendors to comprehensively outline their professional background and performance history to support their proposal evaluation.

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Experience and Past Performance Offeror: ________________________________________ Solicitation Number: 19BE2025Q0670

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

Offeror:
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:

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