7) Past Performance Reference Information Form Attachment A.docx

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M1/M3 Flexure Systems and Vacuum Chambers
Solicitation number
MG-11032025
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The document is a Past Performance Reference Information Form template for a federal solicitation. The form is part of a Request for Proposal (RFP) No. MG-11032025 issued by the University of California's Lawrence Berkeley National Laboratory (LBNL) for M1/M3 Flexure Systems and Vacuum Chambers. Key submission dates include: RFP release on November 3, 2025, a pre-proposal conference on November 21, 2025, offeror questions due by December 2, 2025, and proposals due by December 16, 2025. The form requires detailed information about past contract performance, including client contact details, contract type, total value, period of performance, and a complexity summary highlighting work scope, difficulties, and solutions. The solicitation is sponsored by the Department of Energy and requires offerors to submit comprehensive past performance documentation as part of their proposal package.

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Past Performance Reference Information Form (Completed Form limited to 3 pages per reference contract.)

1. Name and UEI of Offeror Submitting Proposal:

2. Name of Reference Contract Client (e.g., Government Agency or Prime Contractor):

3. Name and UEI of Entity Reference Contract Was Awarded To: (if the Entity was made up of member companies, provide the applicable member company’s name and UEI as well)

5. Reference Contract Number:

Reference Contract Title:

6. Reference Contract Client Point of Contact:

*The reference point of contact must include the Contracting Officer (or equivalent) and may also include the Project Director or Contracting Officer’s Representative (or equivalents).

Name:

Title:

Telephone:

Address:

Email:

7. Reference Contract Period of Performance:

8. Reference Contract Type (e.g., FP, T&M, Cost Re, IDIQ, BPA/BOA, etc.):

9. Reference Contract Total Value and Approximate Average Annual Value

10. Reference Contract Value Performed to Date (Insert the final sum of all invoices, or the sum of all invoices to date, including agreed upon and disputed amounts, paid and awaiting payment; Date = RFP release date):

11. Complexity (Summary Scope, Difficulty of Work, Similarity to this Work Scope, problems encountered and creative solutions with respect to corrective actions taken.

Note: The Offeror may amend the format for this form, as long as the exact information, size, and page limitations are followed.

File details come from the government source that posted it. Updated .