19RB1026Q0002_Experience and Past Performance Form CI.pdf

This is an Experience and Past Performance form template for solicitation 19RB1026Q0002, designed to collect information about an offeror's relevant contract history and performance record. The form serves as an addendum to Federal Acquisition Regulation clause 52.212-1, A.3.(4), and is used during the proposal submission process to evaluate contractor qualifications.

The template requires offerors to provide detailed information for each relevant past contract, including the customer's name and address, telephone numbers for the customer's lead contract and technical personnel, the contract number, and a brief description of the work performed including the offeror's specific responsibilities. Additionally, offerors must disclose any litigation currently in process or that has occurred within the preceding five years. The form consists of a table with empty rows for offerors to complete with multiple contract examples, allowing the evaluating agency to assess the offeror's experience, capability, and performance history on similar federal contracting efforts.