Attachment 2 - Experience and Past Performance Form.pdf

PDF 200 KB Posted

Attached to
Exterior Stairs Repair
Solicitation number
19N06026Q0654
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This is an Experience and Past Performance template for federal contract solicitation 19N06026Q0654 issued by the General Services Office of the U.S. Department of State. The document is a blank form template designed to capture contractor's historical performance data and relevant experience. The template requires contractors to provide information organized into five columns: the customer's name and address; telephone numbers of the customer's lead contract and technical personnel; the associated contract number; a brief description of the work performed including responsibilities; and any litigation currently in process or occurring within the last five years. The form contains multiple blank rows for contractors to list multiple past performance references. This template serves as part of Section J, Solicitation Provisions, as an addendum to FAR clause 52.212-1, and is used to evaluate contractor qualifications based on prior experience and performance history with federal and commercial customers.

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Other files

File Type Posted
Attachement 1 - Breakdown of Price.xlsx XLSX spreadsheet
19NO6026Q654 - Question Submission Form.pdf PDF
19N06026Q0654 - RFQ Cover letter.pdf PDF
19N06026Q0654 - RFQ.pdf PDF
Attachment 3 - Reference pictures.pdf PDF
EXPRESS-NDAA-CERTIFICATION.pdf PDF

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Solicitation Number: 19N06026Q0654

Experience and Past Performance

Section J, Solicitation Provisions, ADDENDUM TO 52.212-1.

Customer's name and address

Telephone numbers of customer's lead contract and technical personnel

Contract number Brief description of the work, including responsibilities

Any litigation currently in process or occurring within last 5 years

Customers name and addressRow1:
Telephone numbers of customers lead contract and technical personnelRow1:
Contract numberRow1:
Brief description of the work including responsibilitiesRow1:
Any litigation currently in process or occurring within last 5 yearsRow1:
Customers name and addressRow2:
Telephone numbers of customers lead contract and technical personnelRow2:
Contract numberRow2:
Brief description of the work including responsibilitiesRow2:
Any litigation currently in process or occurring within last 5 yearsRow2:
Customers name and addressRow3:
Telephone numbers of customers lead contract and technical personnelRow3:
Contract numberRow3:
Brief description of the work including responsibilitiesRow3:
Any litigation currently in process or occurring within last 5 yearsRow3:
Customers name and addressRow4:
Telephone numbers of customers lead contract and technical personnelRow4:
Contract numberRow4:
Brief description of the work including responsibilitiesRow4:
Any litigation currently in process or occurring within last 5 yearsRow4:
Customers name and addressRow5:
Telephone numbers of customers lead contract and technical personnelRow5:
Contract numberRow5:
Brief description of the work including responsibilitiesRow5:
Any litigation currently in process or occurring within last 5 yearsRow5:

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