Att0011_Contract References Spreadsheet.xlsx
XLSX spreadsheet 171 KB Posted
- Attached to
- Hazardous Materials Supply Operation (HMSO)
- Solicitation number
- W52P1J-21-R-0012
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New References Contract References - Attachment 0011
| YES | ||||||||||||||||||||||
| Line 1 | BOA Holder Offeror Name: | XXXX | YES | PRIME | ||||||||||||||||||
| Line 2 | BOA Holder Offeror CAGE CODE: | XXXXX | NO | SUBCONTRACTOR | ||||||||||||||||||
| Line 3 | Subcontractor Name: | XXXX | ||||||||||||||||||||
| Line 4 | Subcontractor CAGE CODE: | XXXXX | ||||||||||||||||||||
| Line 5 | Task Order Solicitation #: | W52P1J-21-R-0012 | ||||||||||||||||||||
| Line 6 | Proposal Submission Date: | XX/XX/XXXX | ||||||||||||||||||||
| Column A | Column B | Column C | Column D | Column E | Column F | Column G | Column H | Column I | Column J | Column K | Column L | Column M | Column N | Column O | Column P | Column Q | Column R | Column S | Column T | |||
| Reference Number | Government Contract Number (and One (1) Task Order if applicable) OR Private sector commercial contract number OR Subcontract Number | One (1) name (as identified in SAM) of the Contractor performing the contract in Column B | One CAGE Code (as identified in SAM) for the contract number listed in Column B | Select from the drop down box if the contractor listed in Column C performed the work as a Prime Contractor or Subcontractor for contract number listed in Column B | Is the contractor listed in Column C a Joint Venture? YES/NO | Is the contractor listed in Column C a predecessor company? YES/NO | If replied yes in Column F or Column G, provide the Offeror name that will be relying on the experience and a description of the relationship of the Joint Venture or Predecessor listed in Column C to the Offeror or JV Partner or Subcontractor listed in conjunction with it. Include justification as to why the Offeror or Subcontractor can claim the relevancy experience. | |||||||||||||||
| Contract period of performance START DATE for the contract number listed in Column B. |
(MM/DD/YYYY)
*Only provide the period of performance for the work performed by the contractor listed in Column C.
Contract period of performance END DATE for the contract number listed in Column B assuming all options are exercised.
(MM/DD/YYYY)
| *Only provide the period of performance for the work performed by the contractor listed in Column C. | Physical place (s) of performance contract number listed in Column B | Total Contract Value for the contract number listed in Column B, assuming all options are exercised. |
| The number of MONTHS work was performed, populated based on the information provided in Columns I (Start Date) and J (End Date), assuming all options are exercised. | Average Annual Dollar Value for the contract number, populated based on the information in Columns L (Total Contract Value) and M (Number of Months). | |
| POC 1 - Name, Title, Phone Number, and Email address | POC 2 - Name, Title, Phone Number, and Email address |
Insert N/A if a second POC is not available. List the work performed against the contract number in Column B to align with the MAINTENANCE functional area performance tasks of this task order.
Provide either PWS, SOW, SOO that contains yellow highlighting of the actual work performed by the contractor listed in Column C for applicable functional area(s) of this requirement in accordance with L.5.3.1.4(b)(21)(i). List the work performed against the contract number in Column B to align with the SUPPLY functional area performance tasks of this task order.
Provide either PWS, SOW, SOO that contains yellow highlighting of the actual work performed by the contractor listed in Column C for applicable functional area(s) of this requirement in accordance with L.5.3.1.4(b)(21)(i). List the work performed against the contract number in Column B to align with the Transportation functional area performance tasks of this task order.
| Provide either PWS, SOW, SOO that contains yellow highlighting of the actual work performed by the contractor listed in Column C for applicable functional area(s) of this requirement in accordance with L.5.3.1.4(b)(21)(i). | Reference Number | ||||
| 1 | $0.00 | 0 | $0.00 | 1 | |
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| 46 | $0.00 | 0 | $0.00 | 46 | |
| 47 | $0.00 | 0 | $0.00 | 47 |
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