Attachment 3 - Past Performance Information Form.docx
DOCX document 19 KB Posted
- Attached to
- USCGC ABBIE BURGESS UNPLANNED DRYDOCK
- Solicitation number
- 70Z08520QP4554500
About this file
This document contains three past performance reference forms to be completed by an offeror responding to a solicitation. The solicitation is for repairs to the thruster unit of the USCGC ABBIE BURGESS as an unplanned drydock project. The Department of Homeland Security US Coast Guard is the contracting agency. The solicitation number is 70Z08520QP4554500. The forms require details on previous contracts such as customer references, points of contact, value, period of performance, description of work performed, and use of subcontractors.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment_4_Request_for_Clarifications.doc | DOC document | |
| Attachment 5 - USCG Ombudsman Notice.pdf | ||
| Attachment 2 - Specification - ABBIE BURGESS (WLM 175) UPDD FQ2 MAS 20R0.doc | DOC document | |
| Attachment 1 Schedule of Supplies & Services.xlsx | XLSX spreadsheet | |
| Combined Synopsis and Solicitation ABBIE BURGESS UPDD.doc | DOC document |
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Text version
Attachment 3
PAST PERFORMANCE INFORMATION FORM
Form ____ of ____
Name of Offeror:
Contract Number, Order Number, or Job identifier Reference:
Customer (Company) Reference Name & Address Location:
Customer Reference Point of Contact (Full Name & Title):
Customer Telephone Number and E-mail address:
(PLEASE VERIFY):
Total dollar value for this effort including all growth work (definite and option items)
(Show either each fiscal year or calendar year; and dollars):
Period of Performance (Month/Day/Year) From:
To:
No. of Period of Performance Time Extensions:
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:
Form ____ of ____
Name of Offeror:
Contract Number, Order Number, or Job identifier Reference:
Customer (Company) Reference Name & Address Location:
Customer Reference Point of Contact
Customer Telephone Number and E-mail address:
Total dollar value for this effort including all growth work (definite and option items)
(Show either each fiscal year or calendar year; and dollars):
Period of Performance (Month/Day/Year) From:
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:
Form ____ of ____
Name of Offeror:
Contract Number, Order Number, or Job identifier Reference:
Customer (Company) Reference Name & Address Location:
Customer Reference Point of Contact
Customer Telephone Number and E-mail address:
Total dollar value for this effort including all growth work (definite and option items)
(Show either each fiscal year or calendar year; and dollars):
Period of Performance (Month/Day/Year) From:
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:
File details come from the government source that posted it. Updated .