Attachment 12 - Past Performance Reference List.pdf
PDF 413 KB Posted
- Attached to
- Renovate B412 for DCSA Phase 2
- Solicitation number
- FA301023R0040
About this file
This document contains an attachment for past performance references and details of a related federal contract opportunity. The attachment provides a template for offerors to list up to five past performance references involving similar scope and magnitude. For each reference, offerors would provide the contract number, description of work performed as prime or subcontractor, period of performance, contracting agency and point of contact, contract value, and whether the work involved any proposed subcontractors, teaming partners, or key personnel. A second page of the template asks for additional details if references involved subcontractors, teaming partners, or key personnel.
The related federal contract opportunity is solicitation number FA301023R0040 to renovate building B412 for the Defense Counterintelligence and Security Agency (DCSA) Phase 2. The solicitation was issued by the Department of the Air Force Air Education and Training Command for an undisclosed opportunity type and response date. No further specifics on required products or services, pricing terms, set asides, or incumbent are provided.
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Text version
ATTACHMENT 12
FA301023R0040
MAHG21-1099 Renovate B412 DCSA Phase 2
1 | P a g e
COMPANY NAME:
CONTRACT NUMBER
(task order number(s) required if referencing an IDIQ contract)
Identify if CPAR is available
DESCRIPTION OF WORK PERFORMED
(performed as a prime/sub-contractor)
CONTRACT PERIOD OF
PERFORMANCE (POP)
CONTRACTING AGENCY,
POC/CUSTOMER NAME,
PHONE #, & EMAIL
CONTRACT/
TASK ORDER
VALUE
PERFORMED BY A PROPOSED
SUBCONTRACTOR, KEY
PERSONNEL, OR TEAMING
ARRANGEMENT? (if yes, complete page 2)
Use this space to provide additional information such as comments on any performance deemed unacceptable to customer, or not in accordance with the contract terms and conditions, etc. If additional information is provided for more than 1 contract, identify comments by contract number. Use multiple sheets if necessary.
ATTACHMENT 12
FA301023R0040
MAHG21-1099 Renovate B412 DCSA Phase 2
2 | P a g e
CONTRACT NUMBER
(task order number(s) required if referencing an IDIQ contract)
SUBCONTRACTOR,
TEAMING
ARRANGEMENT, OR
KEY PERSONNEL
DESCRIBE FUNCTION/TASK/3rd PARTY AFFECT ON PERFORMANCE (See Section L, 2(d) through 2(g) answer all questions pertaining to subcontractor, teaming arrangement, or key personnel; indicating affect they had and percentage completed on referenced contract listed on page 1, and affect they will have and percentage they will complete while performing this contract)
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow1: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow1: |
| CONTRACT PERIOD OF PERFORMANCE POPRow1: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow1: |
| CONTRACT TASK ORDER VALUERow1: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row1: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow2: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow2: |
| CONTRACT PERIOD OF PERFORMANCE POPRow2: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow2: |
| CONTRACT TASK ORDER VALUERow2: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row2: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow3: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow3: |
| CONTRACT PERIOD OF PERFORMANCE POPRow3: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow3: |
| CONTRACT TASK ORDER VALUERow3: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row3: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow4: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow4: |
| CONTRACT PERIOD OF PERFORMANCE POPRow4: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow4: |
| CONTRACT TASK ORDER VALUERow4: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row4: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow5: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow5: |
| CONTRACT PERIOD OF PERFORMANCE POPRow5: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow5: |
| CONTRACT TASK ORDER VALUERow5: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row5: |
| Use this space to provide additional information such as comments on any performance deemed unacceptable to customer or not in accordance with the contract terms and conditions etc If additional information is provided for more than 1 contract identify comments by contract number Use multiple sheets if necessary: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow1: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow1: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow1: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow2: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow2: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow2: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow3: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow3: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow3: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow4: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow4: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow4: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow5: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow5: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow5: |
| Text1: |
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