2.04.18 Attachment (17) - Past Performance Information Form.pdf
PDF 265 KB Posted
- Attached to
- DPM Household Goods Packing, Moving, and Storage
- Solicitation number
- N0060426R0003
About this file
This is a Past Performance Information Form template used as part of a Source Selection Plan for federal contract evaluations.
The form collects detailed past performance data from offerors to assess their qualifications and relevant experience. Required information includes the offeror's name, contract/order number or identifier, and customer information (name, location, and point of contact with verified telephone and email). Offerors must provide total dollar amounts for the effort over the past five years, broken down by calendar year (2019, 2018, 2017, 2016, and 2015), along with the average number of full-time equivalent (FTE) personnel performing work annually and the period of performance dates. The form requires a detailed description of work performed demonstrating relevance to the solicitation scope, organized by scope, magnitude, and complexity. Additionally, offerors must identify any subcontractors utilized, describe the extent of their work, and provide annual dollar values for all subcontracts. This template is designated for official use only and is referenced under FAR 2.101 and 3.104 regarding source selection information.
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Text version
Source Selection Plan
SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104 For Official Use Only
Attachment (2)
PAST PERFORMANCE INFORMATION FORM
Form _____ of _____
Name of Offeror:
Contract Number, order number, or identifier:
Customer Name & Location: Customer Name:
Location:
Customer Point of Contact (Name & Title): Name:
Title:
Telephone Number (PLEASE VERIFY):
and e-mail address
Telephone number:
E-mail address:
Total dollar amount for this effort during the past five (5) years:
(For ordering vehicles, show both the annual maximum contract amount and the amount of orders actually performed):
(Show calendar year and dollars)
Number of personnel (FTE) performing per year (avg.):
Period of Performance: From:
To:
Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:
Scope:
Magnitude:
Complexity:
Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts.
File details come from the government source that posted it. Updated .