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Past Performance Reference Complete and submit one form for each past performance reference. No more than three past performance references per quotation.
| Required information |
| Quoter response |
| (a) Customer name |
| Click or tap here to enter text. |
| (b) Contract, purchase order, or project number, if applicable |
| Click or tap here to enter text. |
| (c) Contract or project value |
| Click or tap here to enter text. |
| (d) Period of performance or completion date |
| Click or tap here to enter text. |
| (e) Place of performance |
| Click or tap here to enter text. |
| (f) Description of the work performed |
| Click or tap here to describe the work performed. |
| (g) Customer point of contact, telephone number, and email address |
| Name: Click or tap here to enter text. |
Telephone: Click or tap here to enter text.
Email: Click or tap here to enter text.
Use a separate copy of this form for each reference submitted.
Quality of Prior Performance The Government may consider the quality and effectiveness of the vendor’s prior performance. Provide available information for each consideration below.
| Quality consideration |
| Quoter response |
| Quality of work |
| Click or tap here to enter available information. |
| Timeliness and schedule performance |
| Click or tap here to enter available information. |
| Safety |
| Click or tap here to enter available information. |
| Cleanup and site restoration |
| Click or tap here to enter available information. |
| Responsiveness and customer service |
| Click or tap here to enter available information. |
| Compliance with contract requirements |
| Click or tap here to enter available information. |
| Amount of Government oversight or corrective action required |
| Click or tap here to enter available information. |
Past Performance Reference | Page 1