Attachment3 PastPerformanceInformationForm.docx

DOCX document 30 KB Posted

Attached to
CGC ELM DOCKSIDE RPAIRS
Solicitation number
70Z08526QIBCT0046
Issued by

About this file

This is a Past Performance Information Form template designed for offerors to document their relevant contract experience in response to the Coast Guard's CGC Elm Dockside Repairs solicitation (70Z08526QIBCT0046). The form functions as an appendix requiring offerors to provide detailed historical contract performance data to demonstrate capability and experience relevant to the solicitation scope.

The template requires offerors to complete multiple copies of the form, with each instance capturing: the offeror's name, contract/order number or job identifier, customer company name and address, primary customer reference point of contact with phone and email verification, total dollar value including all growth and option items (broken down by fiscal or calendar year), complete period of performance dates with number of time extensions, a detailed description of work performed demonstrating relevance to the current solicitation scope, and identification of any subcontractors utilized with descriptions of their work extent and annual subcontract values. The form provides three blank template sections on the first page, indicating offerors will likely need to submit multiple past performance references to support their proposal for this Department of Homeland Security US Coast Guard dockside repair work.

View the file

Other files

File Type Posted
A00001 RFC AND ANSWERS.pdf PDF
A00002 SOLICATION DATE EXTENSION.pdf PDF
RFC ANSWERS.docx DOCX document
ATTACHMENT 4 Request for Clarifications ELM.docx DOCX document
ATTACHMENT 1 CGC ELM DRYDOCK FY26 PRICING SHEET.xls XLS spreadsheet
70Z08526QIBCT0046 CGC ELM DOCKSIDE 27APR28.docx DOCX document
ATTACHMENT 2 Spec ELM (WLB 225A) DS FQ4 KAH 26R0.pdf 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 .