19NO6026Q0004 - Past Performance Form.pdf

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PMSC Generators
Solicitation number
19NO6026Q0004
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This is an Experience and Past Performance template from the General Service Office (U.S. Department of State) for Solicitation Number 19NO6026Q0004. The document serves as a form for offerors to provide documentation of relevant past contract experience.

The template requires offerors to complete a table with five columns of information for each relevant past contract: customer name and address, telephone numbers of the customer's lead contract and technical personnel, 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 populated data and is intended to be completed by prospective contractors as part of their proposal submission. No response dates, award information, pricing terms, or other solicitation parameters are included in this template document.

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Solicitation Number: 19NO6026Q0004

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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