70Z08526RLREP0010 Attachment 4 Past Performance Information Form.docx

27 KB Posted

Attached to
Dock-Side (DS): USCGC HEALY (WAGB 20) Fiscal Year 2027
Solicitation number
70Z08526RLREP0010
Issued by

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This is a Past Performance Information Form template used for the solicitation 70Z08526RLREP0010 for Dock-Side (DS) services related to USCGC HEALY (WAGB 20) in Fiscal Year 2027. The form is issued by the Department of Homeland Security US Coast Guard and serves as an attachment to the main solicitation package.

The template requires offerors to provide detailed past performance information across multiple fields, including: the offeror's name; relevant contract, order, or identifier numbers; customer name and location; customer point of contact information with verified telephone and email; total dollar value of the effort including all definite and option items with applicable fiscal or calendar year designation; period of performance dates; a detailed description of work performed demonstrating relevance to the solicitation scope; and identification of any subcontractors utilized, their extent of work, and associated annual subcontract dollar values. This form enables the government to evaluate contractor capability and experience on similar projects.

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Other files

File Type Posted
70Z08526RLREP0010 Soliciatation HEALY DS FY27 Amendment 0002.pdf PDF
70Z08526RLREP0010 Soliciatation HEALY DS FY27 Amendment 0001.pdf PDF
HEALY DS27 JAs.zip ZIP file
70Z08526RLREP0010 Attachment 1 Pricing Sheet.xlsx XLSX spreadsheet
70Z08526RLREP0010 Attachment 8 Change Request Proposal Form.xlsx XLSX spreadsheet
70Z08526RLREP0010 Attachment 7 Department of Homeland Security Non-Disclosure Agreement (NDA).pdf PDF
70Z08526RLREP0010 Attachment 9 Past Performance Questionnaire.docx DOCX document
70Z08526RLREP0010 Attachment 6 - Government Property Report.pdf PDF
70Z08526RLREP0010 Attachment 5 Request for Clarifications.docx DOCX document
70Z08526RLREP0010 Attachment 2 Specifications Statement of Work.pdf PDF
70Z08526RLREP0010 Attachment 3 Consolidated List of References.pdf PDF
70Z08526RLREP0010 HEALY DS FY27 Solicitation.pdf PDF
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Past Performance Information Form Attachment (4) Solicitation No.: 70Z08526RLREP0010

ATTACHMENT (4)

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 and 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 sufficiently 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 .