36C24418R0546-002.pdf

PAST PERFORMANCE

PRESENT AND PAST PERFORMANCE INFORMATION

SOLICITATION NBR:______________________________________________________________

OFFEROR’S/BIDDER’S NAME (Company/Division):______________________________________

PROVIDE THREE (3) PAST AND/OR PRESENT PERFORMANCE REFERENCES FOR THE MOST RECENT, BUT NO OLDER THAN 5 YEARS, RELEVANT CONTRACTS. DOD WORK IS PREFERRED; HOWEVER, PUBLIC SALES OR SERVICES MAY BE LISTED. DO NOT INCLUDE CLASSIFIED PROGRAMS. PLEASE RETURN THIS PACKAGE

WITH YOUR BID/PROPOSAL/QUOTATION.

CAPACITY: PRIME: __________ SUB: ______________

CONTRACT NUMBER: ________________________________________________________

SUBCONTRACT NUMBER (IF APPROPRIATE): ______________________________________

TYPE (STAND ALONE/IDIQ/REQUIREMENTS): ___________________________________

(FFP/COST/TIME & MATERIAL): ___________________________________

BUYING OFFICE:

COMPANY NAME:

CONTRACTING OFFICER/POINT OF CONTACT:

NAME: _________________________________________________________________

TITLE: ___________________________________________________________________

PHONE: ________________________________________________________________

EMAIL: _________________________________________________________________

BRIEF DESCRIPTION OF EFFORT:

CONTRACT $ VALUE:

ORIGINAL: $__________________________________________________

COMPLETION: $____________________________________________________

REASON FOR CHANGE:

PERFORMANCE PERIOD:

ORIGNAL COMPLETION DATE/ACTUAL COMPLETION DATE: ______________________________

REASON FOR CHANGE:

CONTRACT1

OFFEROR’S/BIDDER’S NAME (Company/Division):______________________________________

SUBCONTRACT NUMBER (IF APPROPRIATE): ______________________________________

TYPE (STAND ALONE/IDIQ/REQUIREMENTS): ___________________________________

(FFP/COST/TIME & MATERIAL): ___________________________________

BUYING OFFICE:

COMPANY NAME:

CONTRACTING OFFICER/POINT OF CONTACT:

NAME: _________________________________________________________________

TITLE: ___________________________________________________________________

PHONE: ________________________________________________________________

EMAIL: _________________________________________________________________

BRIEF DESCRIPTION OF EFFORT:

CONTRACT $ VALUE:

ORIGINAL: $__________________________________________________

COMPLETION: $____________________________________________________

REASON FOR CHANGE:

PERFORMANCE PERIOD:

ORIGNAL COMPLETION DATE/ACTUAL COMPLETION DATE: ______________________________

REASON FOR CHANGE:

CONTRACT2

OFFEROR’S/BIDDER’S NAME (Company/Division):______________________________________

SUBCONTRACT NUMBER (IF APPROPRIATE): ______________________________________

TYPE (STAND ALONE/IDIQ/REQUIREMENTS): ___________________________________

(FFP/COST/TIME & MATERIAL): ___________________________________

BUYING OFFICE:

COMPANY NAME:

CONTRACTING OFFICER/POINT OF CONTACT:

NAME: _________________________________________________________________

TITLE: ___________________________________________________________________

PHONE: ________________________________________________________________

EMAIL: _________________________________________________________________

BRIEF DESCRIPTION OF EFFORT:

CONTRACT $ VALUE:

ORIGINAL: $__________________________________________________

COMPLETION: $____________________________________________________

REASON FOR CHANGE:

PERFORMANCE PERIOD:

ORIGNAL COMPLETION DATE/ACTUAL COMPLETION DATE: ______________________________

REASON FOR CHANGE:

CONTRACT3

PAST PERFORMANCE