Attachment 3 - Past Performance Information Form.docx
DOCX document 19 KB Posted
- Attached to
- USCGC WILLOW (WLB-202) DS FY23
- Solicitation number
- 70Z08523QLREP0002
About this file
This document contains a federal solicitation for dockside repair services for a Coast Guard cutter. The solicitation requests quotes by November 14, 2022 for repairs to be completed between January 2 and March 13, 2023 at a facility in North Carolina. The solicitation is set aside for small businesses with fewer than 1,250 employees and involves repair and maintenance of items specified in an attached statement of work. Offerors must include a completed representations and certifications form and direct any questions about the solicitation to the identified contracting officers by October 31. A site visit will be held on October 28 for interested offerors.
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Other files
| File | Type | Posted |
|---|---|---|
| 70Z08523QLREP0002 Amd 0007.pdf | ||
| 70Z08523QLREP0002 Amd 0006.pdf | ||
| 70Z08523QLREP0002 Amd 0005.pdf | ||
| 70Z08523QLREP0002 Amd 0004.pdf | ||
| 70Z08523QLREP0002 Amd 0003 signed.pdf | ||
| 70Z08523QLREP0002 Amd 0002.pdf | ||
| Amend 0002 - Attachment 1 Schedule of Pricing.xls | XLS spreadsheet | |
| Attachment 4 - Request for Clarification Form.docx | DOCX document | |
| SF30 A00001 WILLOW.pdf | ||
| SF30 A00001 WILLOW.pdf | ||
| Revised 70Z08523QLREP0002 RFQ and Specs Willow.pdf | ||
| Attachment 4 - Request for Clarification Form.docx | DOCX document | |
| Attachment 3 - Past Performance Information Form.docx | DOCX document | |
| Attachment 3 - Past Performance Information Form.docx | DOCX document | |
| 70Z08523QLREP0002 RFQ and Specs Willow.pdf | ||
| Attachment 1 -Schedule of Pricing.xls | XLS spreadsheet | |
| Attachment 4 - Request for Clarification Form.docx | DOCX document | |
| Attachment 5 - Non-Disclosure Agreement.pdf |
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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 .