Attachment 3 - Past Performance Information Form.docx
DOCX document 19 KB Posted
- Attached to
- USCGC VISE (WLIC-75B) DRYDOCK REPAIR FY2022
- Solicitation number
- 70Z085-22-Q-P4501700
About this file
This solicitation is for dry dock repair services for the USCGC VISE, a 75-foot inland construction tender with a 68-foot barge. The Coast Guard seeks a contractor to provide all necessary labor, materials, equipment and services to perform dry dock repairs in accordance with the specifications. The total small business set-aside contract will have a period of performance from December 6, 2021 to February 15, 2022 for repairs conducted at the contractor's dry dock facility. Questions are due by October 8th and quotes are due by October 29th, with an anticipated award date of November 8th. The solicitation is for firm fixed price and requests that drawings be requested by October 8th due to time constraints.
The solicitation includes attachments detailing the scope of work and repair specifications. Vendors must have current Joint Certification Program certification to access any export controlled references. The solicitation is issued under FAR Part 12 for the acquisition of commercial items and FAR Subpart 13.5 for simplified procedures.
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Text version
Attachment 3
PAST PERFORMANCE INFORMATION FORM
Form ____ of ____
Name of Offeror:
Contract Number, Order Number, or Job identifier Reference:
Customer (Company) Reference Name & Address Location:
Customer Reference Point of Contact (Full Name & Title):
Customer Telephone Number and E-mail address:
(PLEASE VERIFY):
Total dollar value for this effort including all growth work (definite and option items)
(Show either each fiscal year or calendar year; and dollars):
Period of Performance (Month/Day/Year) From:
To:
No. of Period of Performance Time Extensions:
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:
Form ____ of ____
Name of Offeror:
Contract Number, Order Number, or Job identifier Reference:
Customer (Company) Reference Name & Address Location:
Customer Reference Point of Contact
Customer Telephone Number and E-mail address:
Total dollar value for this effort including all growth work (definite and option items)
(Show either each fiscal year or calendar year; and dollars):
Period of Performance (Month/Day/Year) From:
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:
Form ____ of ____
Name of Offeror:
Contract Number, Order Number, or Job identifier Reference:
Customer (Company) Reference Name & Address Location:
Customer Reference Point of Contact
Customer Telephone Number and E-mail address:
Total dollar value for this effort including all growth work (definite and option items)
(Show either each fiscal year or calendar year; and dollars):
Period of Performance (Month/Day/Year) From:
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 .