Attachment 3 - Past Performance Info Sheet.pdf

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Attached to
Scott Inn HVAC Preventative Maintenance Requirement
Solicitation number
FA440726Q0100
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This is a Past Performance Information Sheet template for use in a Request for Quotation (RFQ) for vehicle barrier systems maintenance, repair, and installation services. Offerors are required to submit three past performance references that must be recent (performed within five years of the RFQ issuance date) and relevant to work involving maintenance, repair, and installation of vehicle barrier systems. If a reference involves work performed by a subcontractor or teaming partner, the performing company and their specific role must be clearly identified.

The form requires offerors to provide comprehensive project information including the project title, contract/order number, performing company designation (prime, subcontractor, or teaming partner), and complete customer/agency contact details with a point of contact who is willing to participate in performance interviews or surveys. Section 4 requires a detailed narrative describing the work performed with specific emphasis on relevance to the RFQ's Performance Work Statement, including the scope of barrier systems involved, magnitude of the effort (number of systems, facility size), and complexity factors such as unique installation challenges or integration with other security systems. Section 5 requests evidence of performance quality, which may include CPARS records with ratings in key evaluation areas such as Quality, Schedule, Cost Control, and Management; letters of recommendation; or other performance assessments. The form also includes contract details such as total contract/order value and period of performance dates. By submitting this information, offerors grant the U.S. Government permission to contact the listed customer points of contact to verify the information and inquire about the offeror's performance.

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Attachment [X] – Past Performance Information Sheet

INSTRUCTIONS TO OFFERORS:

Complete one Past Performance Information Sheet for each of the three (3) past performance references submitted. The references must be recent and relevant as defined in the RFQ. Recent is defined as work performed within the past five (5) years from the issuance date of this RFQ. Relevant is defined as work involving maintenance, repair, and installation of vehicle barrier systems.

If a reference is for a project performed by a subcontractor or teaming partner, clearly identify the company that performed the work and describe their specific role in the project.

Project Reference ______ of 3

1. GENERAL INFORMATION

Project Title:

Contract/Order Number:

Performing Company: (Identify if Prime, Subcontractor, or Teaming Partner)

2. CUSTOMER / AGENCY INFORMATION

Customer/Agency Name:

Point of Contact (POC) Name:

POC Title:

POC Phone Number:

POC Email Address:

Is this POC willing to be contacted for a performance interview/survey? (Circle One): YES /

NO

3. CONTRACT DETAILS

Total Contract/Order Value: $

Period of Performance (Start): (MM/DD/YYYY)

Period of Performance (End): (MM/DD/YYYY)

4. DESCRIPTION OF WORK PERFORMED

Provide a detailed narrative of the work performed. Crucially, describe how this project is relevant to the requirements in this RFQ's Performance Work Statement (PWS).

Specifically address the scope (e.g., types of barrier systems), magnitude (e.g., number of systems, size of facility), and complexity (e.g., unique installation challenges, integration with other security systems) of your eƯort.

5. EVIDENCE OF PERFORMANCE QUALITY

Indicate the type of performance assessment available for this project. If available, please attach any letters of recommendation.

CPARS: Is a CPARS record available for this contract/order? (Circle One): YES / NO If YES, provide the CPARS rating(s) for key evaluation areas (e.g., Quality, Schedule, Cost Control, Management):

Letter of Recommendation: Is a letter of recommendation attached? (Circle One):

YES / NO

Other: Please describe any other form of performance assessment provided (e.g., customer survey).

By submitting this information, the oƯeror grants the U.S. Government permission to contact the listed customer points of contact to verify the information provided and to inquire about the oƯeror's performance on the cited contracts.

File details come from the government source that posted it. Updated .