19BE2026Q0731 - Experience and Past Performance Form.pdf
PDF 200 KB Posted
- Attached to
- Audience Analysis Services
- Solicitation number
- 19BE2026Q0731
- Issued by
-
Department of State US Embassy Brussels
About this file
This document is an Experience and Past Performance template issued by the General Services Office, U.S. Department of State for Solicitation Number 19BE2026Q0731. The template is structured as an addendum to Federal Acquisition Regulation (FAR) clause 52.212-1 and appears in Section 3, Solicitation Provisions of the solicitation.
The template provides a table format for offerors to document their relevant past performance on federal contracts. Offerors are required to complete five columns of information for each relevant contract: the customer's name and address; telephone numbers of the customer's lead contract and technical personnel; the contract number; a brief description of the work including responsibilities; and disclosure of any litigation currently in process or occurring within the last five years. The document itself contains no pre-filled data, serving only as a blank template for bidders to complete and submit as part of their proposal response.
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Text version
Solicitation Number: 19BE2026Q0731
Experience and Past Performance
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: |
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