Attach 2 - Past Performance List of References.pdf
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- Solicitation number
- FA442726Q1157
About this file
This is a Past Performance List of References form used to document a vendor's relevant contract history for federal contracting purposes.
The form is a template designed to capture three past performance references from the vendor. For each reference, the vendor must provide the contract number (including any task order numbers), a description of work performed and the role performed (prime or subcontractor), the contract period of performance, the contracting agency point of contact with phone number and email, and contract values including total contract amount, annual amount, and the period for which the annual amount applies. Additionally, the vendor must indicate whether the work was performed by a proposed subcontractor, affiliate, or joint venture, with a reference to Page 2 for additional details if applicable.
Page 2 of the form requires the vendor to provide supplementary information for any references involving subcontractors, affiliates, or joint ventures. For each such arrangement, the vendor must identify the subcontractor, affiliate, or joint venture entity and describe the function, task, or role performed, including how the third party affects overall performance. The form distinguishes between two scenarios: when the vendor proposes to use a subcontractor, affiliate, or joint venture for the current effort, and when the vendor performed past performance work as a subcontractor, affiliate, or joint venture.
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Text version
Page 1 of
PAST PERFORMANCE LIST OF REFERENCES
Vendor Name:
CONTRACT NUMBER
(include task order number(s) if applicable)
DESCRIPTION OF WORK PERFORMED
(performed as a prime/sub-contractor)
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:
Page 2 of
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
2. If contractor proposing on this effort provided past performance they performed as a Subcontractor, Affiliate, or Joint Venture, 1.
2.
1.
2.
1.
2.
File details come from the government source that posted it. Updated .