Past Performance Form.docx

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104

PAST AND PRESENT PERFORMANCE

Instructions to Offeror: Complete the information and send this document with your RFP.

PART 1. Past and Present Contracts: Provide any past or current contracts that you have completed in the last 5 years that are relevant to this project. You may make additional sheets but do not list more than 20 contracts. Provide all information requested regarding YOUR PERFORMANCE on the contracts you elect to reference.

Yes or No Wastewater Project Yes or No

(NOTE: Please provide a narrative below on the top three projects you feel are most relevant to this requirement.)

Provide detailed description of the work performed under the contract and describe why you believe the work is VERY REVELANT, RELEVANT, or SEMI-RELEVANT. (Circle one)

1. Contract: __________________________

Very Relevant Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires.

Relevant Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires.

Somewhat Relevant Present/past performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires.

Relevance detailed description of project to include work by subcontractors:

Point of Contact of References you would like the source selection team to contact about this project:

Name: ________________________ Title: ________________________ Agency: ________________________ Email: ________________________ Phone: ________________________ 2.

Contract: __________________________

Very Relevant Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires.

Relevant Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires.

Somewhat Relevant Present/past performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires.

Point of Contact of References you would like the source selection team to contact about this project:

Title: ________________________ Agency: ________________________ Email: ________________________ Phone: ________________________

3. Contract: __________________________

Very Relevant Present/past performance effort involved essentially the same scope and magnitude of effort and complexities this solicitation requires.

Relevant Present/past performance effort involved similar scope and magnitude of effort and complexities this solicitation requires.

Somewhat Relevant Present/past performance effort involved some of the scope and magnitude of effort and complexities this solicitation requires.

Point of Contact of References you would like the source selection team to contact about this project:

Title: ________________________ Agency: ________________________ Email: ________________________ Phone: ________________________