6. Past Performance List of References.pdf
PDF 120 KB Posted
- Attached to
- Aerospace Medicine Physician/Flight Surgeon
- Solicitation number
- FA301625Q602
About this file
This is a Past Performance List of References template (Attachment 6) for solicitation FA301625Q602 for an Aerospace Medicine Physician (Flight Surgeon) position. The two-page form requires offerors to provide details about their relevant past performance, including contract numbers, descriptions of work performed, FTE counts, period of performance, contracting agency points of contact, and contract values (both total and annual amounts).
The second page specifically addresses subcontractor, affiliate, or joint venture relationships, requiring detailed descriptions of the functions, tasks, and third-party effects on performance. For each referenced contract, offerors must specify the percentage of work performed, cost splitting arrangements, and types of services provided (such as accounting or recruiting) both for proposed future subcontracting arrangements and past performance where the offeror served as a subcontractor.
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Text version
Attachment 6 – Past Performance List of References Aerospace Medicine Physician (Flight Surgeon)
Solicitation# FA301625Q602
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: $
Total: $
Attachment 6 – Past Performance List of References Aerospace Medicine Physician (Flight Surgeon) Solicitation# FA301625Q602
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)
1.
2.
File details come from the government source that posted it. Updated .