Attachment 3 Past Performance Information Form.doc

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Attached to
USCGC ELM (WLB- 204) Dockside Repair Availability
Solicitation number
70Z08522QP4504600
Issued by

About this file

This document is a past performance information form template to be completed by offerors responding to solicitation number 70Z08522QP4504600 for dockside repair availability of the USCGC ELM. The form requests details on up to three past or current contracts including customer name and location, point of contact, period of performance dates, total value, description of work performed, and description of any subcontractor utilization along with associated dollar values. The solicitation is for the Department of Homeland Security US Coast Guard and seeks dockside repairs for the USCGC ELM in fiscal year 2022. Offerors must demonstrate relevant past performance on the form for the agency's evaluation.

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Text version

Attachment 3

PAST PERFORMANCE INFORMATION FORM
Form ___ of ___

Name of Offeror:

Contract Number, order number, or identifier:

Customer Name & Location:

Customer Point of Contact (Name & Title):

Telephone Number and e-mail address (PLEASE VERIFY):

Total dollar value for this effort including all growth work (definite and option items)

(Show either fiscal year or calendar year and dollars):

Period of Performance:
From:

To:

Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:

Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:

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