Att 5 - Past Performance List of References.pdf
PDF 47 KB Posted
- Attached to
- Hoods and Ducts Cleaning
- Solicitation number
- FA465925QM015
About this file
Attachment 4 is a Past Performance List of References template designed for potential contractors to document their previous contract experiences. The two-page form provides a structured format for listing up to three past contract references, requiring detailed information including contract numbers, description of work performed, contract period of performance, contracting agency contact information, contract values, and whether the work was performed as a prime contractor, subcontractor, affiliate, or joint venture. The second page allows for additional details about subcontractors, affiliates, or joint ventures, including their specific functions, tasks, and percentage of work performed. This template is part of a solicitation (FA465925QM015) for hoods and ducts cleaning services issued by the Department of the Air Force Air Mobility Command, and is intended to help evaluators assess a contractor's past performance and capabilities.
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Attachment 4-Past Performance List of References
PAST PERFORMANCE LIST OF REFERENCES
Company Name:
CONTRACT NUMBER
(include task order number(s) if applicable)
DESCRIPTION OF WORK PERFORMED
(performed as a prime/sub-contractor, details i.e.
number of FTE, position type, full-time or session-based, %performed, etc. )
CONTRACT
PERIOD OF
PERFORMANCE
(POP)
CONTRACTING AGENCY
POC/CUSTOMER NAME, PHONE #
CONTRACT VALUES
(include total contract amount, annual amount and POP for annual amount)
PERFORMED BY A
PROPOSED
SUBCONTRACTOR
AFFILIATE, OR
JOINT VENTURE?
(If yes, please complete
Page 2)
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
Attachment 4-Past Performance List of References
CONTRACT NUMBER
(include task order number(s) if applicable)
SUBCONTRACTOR,
AFFILIATE, OR
JOINT VENTURE
DESCRIBE FUNCTION/TASK/3RD PARTY AFFECT ON PERFORMANCE
1. If proposing to use a Subcontractor, Affiliate, or Joint Venture for this effort, include percentage of work, splitting of cost, type of services i.e. accounting, recruiting, etc they will perform for this effort (provide information below)
2. If contractor proposing on this effort provided past performance they performed as a Subcontractor, Affiliate, or Joint Venture, include percentage of work, splitting of cost, type of services performed, i.e. accounting, recruiting, etc for that effort (provide information below)
1.
2.
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File details come from the government source that posted it. Updated .