Attach 3 - Past Performance Information Form BLANK.docx
DOCX document 30 KB Posted
- Attached to
- USCGC GREENBRIER DRYDOCK REPAIRS FY27
- Solicitation number
- 70Z08526QIBCT0066
About this file
This is a blank Past Performance Information Form template designed for offerors to document relevant contract experience when responding to the USCGC GREENBRIER DRYDOCK REPAIRS FY27 solicitation (RFQ 70Z08526QIBCT0066). The form is issued by the Department of Homeland Security US Coast Guard and requires submission as Attachment 3 of the proposal response.
The template provides space for offerors to submit up to three separate past performance references. For each reference, offerors must provide the offeror's name, contract/order number or job identifier, customer company information with specific point of contact details (name, title, phone, and verified email address), total contract dollar value broken down by fiscal or calendar year, period of performance dates with any time extensions noted, a detailed description of work performed demonstrating relevance to the drydock repair scope, and a comprehensive accounting of any subcontractors used including their scope of work and annual subcontract dollar values. The blank form establishes the required documentation structure without specifying the number of past performance references mandated or evaluation criteria, indicating that additional instructions regarding submission requirements would be provided elsewhere in the solicitation package.
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Other files
| File | Type | Posted |
|---|---|---|
| Attach 1 - Blank Pricing Sheet.xls | XLS spreadsheet | |
| Attach 2 - Work Specification Rev-0.pdf | ||
| Attach 4 - Request for Clarifications Solicitation GREENBRIER DD FY27.docx | DOCX document | |
| COMBINED SYNOPSIS-SOLICITATION 70Z08526QIBCT0066 GREENBRIER DD FY27.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 .