2.2.1.iii Attachment 3 Past Performance Form.rtf
RTF text file 105 KB Posted
- Solicitation number
- 70FB8026Q00000004
About this file
The document is a Past Performance Form template for a Federal Emergency Management Agency (FEMA) solicitation for Appliances & Safety Equipment (Solicitation Number: 70FB8026Q00000004). The form is designed to capture detailed contract information including contract/project numbers, names, contracting parties, contract type, award dates, performance periods, dollar values, and points of contact. The template provides space for offerors to document their work history, including prime or subcontractor roles, joint venture details, and place of performance.
This solicitation is a 100% Small Business Set-Aside for supplying standard household materials and safety equipment for Transportable Temporary Housing Units (TTHUs). The specific items include microwave ovens, refrigerators/freezers, electric ranges, range vent hoods, NOAA weather radios with strobe lights, bed shakers, door locks, and dehumidifiers. The North American Industry Classification System (NAICS) Code is 335220 for Major Household Appliance Manufacturing, with a size standard of 1,500 employees. The solicitation allows for up to three individual awards to support FEMA's Logistics Operations Division's Individual Assistance Direct Housing Program.
Text of this file
Appliances & Safety Equipment
70FB8026Q00000004
Past Performance Form
CONTRACT DETAILS
Contract/ Project Number (include IDIQ, BPA or GSA number if applicable):
Contract/ Project Name:
Contracting Party (Government Agency or Commercial Entity):
Entity Unique Identification (UEI) and CAGE Number (if applicable):
Contract Type (FFP, CR, T&M, LH):
Award Date:
Period of Performance:
Delivery Schedule:
Start Date: Completion Date:
Dollar Value:
Awarded: Final:
Prime or Subcontractor (if Subcontractor, percentage of the work as subcontractor):
Percentage (if Subcontractor): ___ % If Subcontractor, name of Prime, Point of Contact (POC), and contact details:
Joint Venture partner (if applicable), Point of Contact (POC), and contact details:
Place of Performance:
CO Name, E-mail and Phone Number:
COR Name, E-mail and Phone Number:
DESCRIPTION OF OFFEROR WORK UNDER CONTRACT
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