WILLOW,_Attachment_3,_Past_Performance_Information_Form.doc

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Attached to
Ships Service Diesel Engine Top End Overhaul for Coast Guard Cutter WILLOW
Solicitation number
70Z085-19-Q-P4514000
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Attachment 3: Past Performance Information Form

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ATTACHMENT 3

RFQ # 70Z085-19-Q-P4514000

PAST PERFORMANCE INFORMATION FORM
Form ___ of ___

Name of Offeror:

Contract Number, order number, or identifier:

Customer Name & Location:

Customer Point of Contact (Name & Title):

Telephone Number e-mail address (PLEASE VERIFY):

Total dollar value for this effort including all growth work (definite and option items)

(Show either fiscal year or calendar year and dollars):

Period of Performance:
From:

To:

Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:

Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:

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