Attach 3 - Past Performance Information Form BLANK.docx
DOCX document 30 KB Posted
- Attached to
- DRYDOCK REPAIRS FOR THE CGC PAMLICO
- Solicitation number
- 70Z08526QIBCT0068
- Issued by
- Not on record
About this file
This is a blank Past Performance Information Form template used to document an offeror's relevant contract experience for evaluation purposes in response to the CGC PAMLICO Drydock Repairs solicitation. The template contains three identical forms, each designed to capture comprehensive details about a single past performance reference.
Each form requires the offeror to provide: the offeror's name, contract/order/job identifier and reference number, customer company name and address with location details, customer point of contact information with phone and email verification, total contract dollar value including all growth and option items (broken down by fiscal or calendar year), period of performance dates with the number of time extensions granted, a detailed description of work performed demonstrating relevance to the solicitation scope, and information on any subcontractors utilized including their scope of work and annual dollar values. This template is intended to be completed multiple times to substantiate the offeror's qualifications and prior experience with similar drydock repair work for the U.S. Coast Guard.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment 4- Request for Clarifications PAMLICO 1.docx | DOCX document | |
| 70Z08526QIBCT0068 Pamlico DD 1020.docx | DOCX document | |
| ATTACHMENT 2 - Work Specification PAMLICO2 10-20.pdf | ||
| ATTACHMENT 1 PAMLICO PRICING SHEET.xls | XLS spreadsheet |
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Text version
Attachment 3
PAST PERFORMANCE INFORMATION FORM
Form ____ of ____
Name of Offeror:
Contract Number, Order Number, or Job identifier Reference:
Customer (Company) Reference Name & Address Location:
Customer Reference Point of Contact (Full Name & Title):
Customer Telephone Number and E-mail address:
(PLEASE VERIFY):
Total dollar value for this effort including all growth work (definite and option items)
(Show either each fiscal year or calendar year; and dollars):
Period of Performance (Month/Day/Year) From:
To:
No. of Period of Performance Time Extensions:
Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:
Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:
Form ____ of ____
Name of Offeror:
Contract Number, Order Number, or Job identifier Reference:
Customer (Company) Reference Name & Address Location:
Customer Reference Point of Contact
Customer Telephone Number and E-mail address:
Total dollar value for this effort including all growth work (definite and option items)
(Show either each fiscal year or calendar year; and dollars):
Period of Performance (Month/Day/Year) From:
Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:
Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:
Form ____ of ____
Name of Offeror:
Contract Number, Order Number, or Job identifier Reference:
Customer (Company) Reference Name & Address Location:
Customer Reference Point of Contact
Customer Telephone Number and E-mail address:
Total dollar value for this effort including all growth work (definite and option items)
(Show either each fiscal year or calendar year; and dollars):
Period of Performance (Month/Day/Year) From:
Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:
Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:
File details come from the government source that posted it. Updated .