3. Past Performance List of References.pdf
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- Solicitation number
- FA301626R00130002
About this file
This is a Past Performance List of References form for Solicitation FA301626R00130002 related to Aerospace Medical Accession Standards. The form is a template designed to collect documentation of a contractor's relevant past performance on federal contracts to support proposal evaluation.
Page 1 of the form requires contractors to provide information on up to three past contracts, including the contract number, description of work performed with details on staffing (full-time equivalent employees, position types, and percentage of work performed), period of performance, contracting agency and point of contact information, total and annual contract values, and an indication of whether the work was performed as a subcontractor, affiliate, or joint venture. Page 2 provides supplemental space for contractors to disclose and describe the specific functions, tasks, and impact on performance of any subcontractors, affiliates, or joint venture partners involved in either proposed efforts or previously performed contracts listed on Page 1. The form is structured to ensure complete transparency regarding organizational relationships and past performance capability relevant to the Aerospace Medical Accession Standards requirement.
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Attachment 3 – Past Performance List of References Aerospace Medical Accession Standards
Solicitation# FA301626R00130002
PAST PERFORMANCE LIST OF REFERENCES
Company Name:
CPARS
Y/N
CONTRACT NUMBER
(include task order number(s) if applicable)
DESCRIPTION OF WORK
PERFORMED
(performed as a prime/sub-contractor, details i.e. number of FTE, position type, full-time or session-based, %performed, etc. )
FTE
CONTRACT
PERIOD OF
PERFORMANCE
(POP)
CONTRACTING AGENCY POC/CUSTOMER
NAME, PHONE # & EMAIL
CONTRACT VALUES
(include total contract amount, annual amount and POP for annual amount)
PERFORMED AS A PROPOSED
SUBCONTRACTOR,
AFFILIATE, OR
JOINT VENTURE?
(If yes, please complete Page 2)
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
Attachment 3 – Past Performance List of References Aerospace Medical Accession Standards
Solicitation# FA301626R00130002
CONTRACT NUMBER
(include task order number(s) if applicable)
SUBCONTRACTOR,
AFFILIATE, OR
JOINT VENTURE
DESCRIBE FUNCTION/TASK/3RD PARTY AFFECT ON PERFORMANCE
1. If proposing to use a Subcontractor, Affiliate, or Joint Venture for this effort, include percentage of work, splitting of cost, type of services i.e. accounting, recruiting, etc they will perform for this effort (provide information below)
2. If contractor proposing on this effort provided past performance they performed as a Subcontractor, Affiliate, or Joint Venture, include percentage of work, splitting of cost, type of services performed, i.e. accounting, recruiting, etc for that effort (provide information below)
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