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Past Performance Contract Reference Worksheet
| 1 |
| Contractor’s Name as it appears on the Past Performance Contract Reference |
| 2 |
| Contractor’s Performance Role in the Past Performance Contract Reference (Prime or Subcontractor) |
| 3 |
| Contractor’s Proposed Performance Role in the Instant Contract (Prime or Principal Subcontractor) |
| 5 |
| Contract Number/TO/DO (as it appears on the contract document) |
| 6a |
| Contract Type: Firm-fixed-price, cost-plus-fixed-fee, etc. |
| 6b |
| Contract Type: Product deliverable or Service contract - Identify the Contract Product Service Code (PSC) number |
| 8 |
| Brief Description of Contract Product or Service Scope |
| 9 |
| Period of Performance or Delivery Date |
| 10 |
| Total Dollar Value of Contract (inclusive of any available options) |
| 11 |
| Relevant1 Dollar Value of Effort by the Contractor or Principal Subcontractor on row 10 |
| 12 |
| CAGE Code and DUNS Number2 |
| 13 |
| Do CPARS exist? Yes or No3 |
| 14 |
| If CPARS exist, state the number of CPARS that exist |
| 15 |
| If CPARS exist, state the completion dates |
| 16 |
| The Number of Questionnaires the Contractor Sent |
| 17 |
| Current Point of Contact’s Name4, Phone Number, and Email Address for the Past Performance Contract Reference |
| 18 |
| List all Supporting Documents included for this Past Performance record. |
1 Relevant. The past performance contract reference dollar amount relevant to the scope requirement of the instant solicitation.
2 The CAGE code, DUNS number, and/or the corporate name and address on the contract, subcontract, or interorganizational transfer effort.
3 As part of its Past Performance Volume, the offeror shall provide printed CPARS that are referenced in the table. Electronic CPARS shall be provided in a fully searchable file using Microsoft Word product or Adobe portable document format (.pdf). The CPARs can be downloaded and saved from the pertinent government website.
4 The offeror shall ensure to validate and provide the Past Performance Contract Reference current point of contact person.
