Attachment 0003 - Past Performance Reference Fillable Form.docx

This is a fillable Past Performance Reference Form template designed for vendors responding to the Unit Program Manager solicitation (W50S8X26QA022) issued by the Department of the Army California Army National Guard. Quoters are required to submit one form for each past performance reference, with a maximum of three references allowed per quotation. The form captures essential project information including customer name, contract/purchase order/project number, contract value, period of performance or completion date, place of performance, and a detailed description of work performed. Vendors must also provide the customer point of contact information including name, telephone number, and email address.

The form includes a quality of prior performance section requiring vendors to provide available information across seven evaluation criteria: quality of work, timeliness and schedule performance, safety, cleanup and site restoration, responsiveness and customer service, compliance with contract requirements, and amount of government oversight or corrective action required. This template is a standard documentation tool used to substantiate vendor qualifications and past performance capabilities for evaluation against the anticipated base performance period of 2 September 2026 through 1 September 2027, with an optional 6-month extension through 2 March 2028. The solicitation is set aside for Small Business concerns under NAICS code 561990 with a size standard of $16,500,000.