Attachment (3) Past Performance Information Form.docx

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Attached to
USCGC HAMILTON Dockside FY21 FYQ1
Solicitation number
70Z08521QP45B1800
Issued by

About this file

This Past Performance Information Form template requests references for a contractor's relevant past work experience. The form asks for details of a reference including contract number, customer name and location, point of contact, dollar value including growth work, period of performance, and description of work performed. It also requests information on any subcontractors utilized such as description of work and annual dollar value.

The related federal contract opportunity is a solicitation from the Department of Homeland Security US Coast Guard for FY21 FYQ1 dockside repairs to the USCGC HAMILTON (WMSL 753). Offerors should reference the attached documents for requirement details and instructions. The resulting contract will be awarded in accordance with FAR 52.232-18 Availability of Funds.

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Text version

Past Performance Information Form Attachment (3) Solicitation No.: 70Z08521QP45B1800

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 .