19RB1026Q0001_Experience and Past Performance Form.pdf

This is an Experience and Past Performance form template for solicitation 19RB1026Q0001. The form is designed for offerors to document their relevant contract history and qualifications as part of their proposal submission. It functions as an addendum to FAR clause 52.212-1, Section A.2(3), and requires offerors to provide structured information about their prior relevant work experience.

The form contains five columns requiring offerors to enter: the customer's name and address; telephone numbers for the customer's lead contract and technical personnel; the relevant contract number; a brief description of the work performed including the offeror's specific responsibilities; and disclosure of any litigation currently in process or occurring within the past five years. The template provides multiple blank rows to allow offerors to list multiple past performance examples, enabling the government to evaluate the offeror's experience, capability, and track record on similar or related work. This is a blank template with no specific past performance data completed.