Attachment 06 Past Performance Information.pdf
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- Solicitation number
- 75N98027Q00071
About this file
ATTACHMENT 06 – PAST PERFORMANCE INFORMATION
This is a Past Performance Information form for RFQ 75N98027Q00071, soliciting Laundering and Dry Cleaning Services for the NIH Division of Police (PCA-ORS-06108). Offerors must complete and submit this form with their quote as required by RFQ paragraph 6, item 4, to be evaluated under Factor 2, Past Performance (RFQ paragraph 7). Offerors are instructed to list one to three contracts or purchase orders for laundry or dry cleaning services performed during the three years preceding the quote due date, with subcontractor experience permissible if the offeror's role is stated. Each entry requires a customer point of contact who can confirm the information, and the Government may contact these references and consult additional sources, including Government databases, to verify past performance claims.
The form establishes evaluation criteria whereby a quote is acceptable under Factor 2 if at least one listed contract involves laundry or dry cleaning services and the customer confirms the services met contract requirements. Importantly, a quote with no relevant past performance is rated neutral and remains eligible for award. The form collects detailed information for up to three references, including customer name, contract/purchase order number, offeror role (prime contractor or subcontractor), contract type and value, period of performance, place of performance, services performed (laundering, dry cleaning, pressing, repair/alteration, pickup/delivery), work description and garment types, approximate volume, customer point of contact details, early contract termination or performance complaint history, and the offeror's statement regarding whether services met contract requirements. The form concludes with a certification section requiring the signer to attest to the accuracy and completeness of the information and authorize Government contact verification of listed customer references.
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Text version
RFQ 75N98027Q00071 | Attachment 06
ATTACHMENT 06
PAST PERFORMANCE INFORMATION
RFQ 75N98027Q00071
PCA-ORS-06108 - Laundering and Dry Cleaning Services for the NIH Division of Police
Instructions
1. Complete this form and submit it with your quote (RFQ paragraph 6, item 4). It is used to evaluate Factor 2, Past Performance (RFQ paragraph 7).
2. List one to three contracts or purchase orders for laundry or dry cleaning services that you performed during the three years before the quote due date. Experience as a subcontractor may be listed if you state your role.
3. For each entry, provide a customer point of contact who can confirm the information. The Government may contact each point of contact and may also use other sources of past performance information, including Government databases.
4. A quote is acceptable under Factor 2 if at least one listed contract is for laundry or dry cleaning services and the customer reports that the services met contract requirements. A quote with no relevant past performance is rated neutral and remains eligible for award.
5. The Government will use the contact information only to evaluate this quote. Attach additional pages if more space is needed for any entry.
Offeror Information
Offeror legal business name
Unique Entity ID (UEI)
Point of contact for this form:
name and title
Point of contact: telephone and email
No Relevant Past Performance
Check this box only if the offeror has no relevant past performance to list, and then sign the certification on the last page.
[ ] The offeror has no past performance for laundry or dry cleaning services in the last three years.
Reference 1
Customer name (agency or company)
Contract, purchase order, or agreement number
Offeror role [ ] Prime contractor [ ] Subcontractor
Contract type and total value
Period of performance (start and end dates)
Place of performance (city and state)
Services performed (check all that apply)
[ ] Laundering [ ] Dry cleaning [ ] Pressing [ ] Repair or alteration [ ] Pickup and delivery
Description of the work, including the types of garments
Approximate volume (items per month or per year)
Customer point of contact: name and title
Customer point of contact:
telephone and email
Did the contract end early, or did the customer issue a cure notice, termination notice, or written performance complaint?
[ ] No [ ] Yes (explain below)
Explanation, if yes
Offeror statement: did the services meet the contract requirements?
[ ] Yes [ ] No (explain above)
Reference 2
[ ] Laundering [ ] Dry cleaning [ ] Pressing [ ] Repair or alteration [ ] Pickup and delivery notice, termination notice, or written performance complaint?
[ ] No [ ] Yes (explain below)
Explanation, if yes
Offeror statement: did the services meet the contract
Reference 3
[ ] Laundering [ ] Dry cleaning [ ] Pressing [ ] Repair or alteration [ ] Pickup and delivery notice, termination notice, or written performance complaint?
[ ] No [ ] Yes (explain below)
Explanation, if yes
Offeror statement: did the services meet the contract
Certification
I certify that the information in this form is accurate and complete to the best of my knowledge. I authorize the Government to contact the customer points of contact listed above to verify this information.
Name and title of signer
Signature
Date signed
End of Attachment 06
File details come from the government source that posted it. Updated .