ATTACHMENT (3) - PAST PERFORMANCE INFORMATION FORM.docx
DOCX document 30 KB Posted
- Attached to
- CGC KUKUI DRYDOCK
- Solicitation number
- 70ZU0227QIBCT0001
- Issued by
- Not on record
About this file
This is a Past Performance Information Form template used to document contractor experience on relevant prior projects. The form requires offerors to provide detailed information about past contracts, including the contract/order number or job identifier, customer company name and location, customer reference point of contact with telephone and email verification, total dollar value across all fiscal or calendar years including growth and option items, period of performance dates and any time extensions, and a detailed description of work performed demonstrating relevance to the current solicitation scope. The form also requires documentation of any subcontractors utilized, the extent of their work, and annual subcontract dollar values. The template contains three identical form sections on a single page, indicating that offerors are expected to submit multiple past performance references. This form is associated with Solicitation 70ZU0227QIBCT0001 for CGC KUKUI Drydock services, an Indefinite Delivery Requirement (IDR) contract for a 225-foot buoy tender homeported in Sitka, Alaska, with performance to occur at the contractor's facility. The solicitation is full and open competition, with quote submission via email to Sandra.a.Martinez@uscg.mil and Jayne.Gluck@uscg.mil, clarification requests due by 2 PM EST on 16 November 2026, and site visit coordination required by 8 AM PST on 9 November 2026.
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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 .