Attachment 3 - Past Performance Information Form.docx
DOCX document 19 KB Posted
- Attached to
- USCGC CYPRESS FY22 DS Federal contract opportunity
- Solicitation number
- 70Z085-22-Q-P45010
About this file
This document contains a past performance information form template and details of a federal solicitation for dockside repair services. The solicitation seeks a contractor to provide all necessary labor, materials, services, equipment and supplies to perform various dock side repairs of the USCGC CYPRESS, a 225-foot seagoing buoy tender homeported in Kodiak, Alaska. The work must be performed in exact accordance with the specifications attached to solicitation number 70Z085-22-Q-P45010 issued by the Department of Homeland Security's United States Coast Guard. Offerors must submit the past performance information form to provide references from previous contracts demonstrating the relevance of the work to the scope of the solicitation.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SF-30-A00002 -Amendment of Solicitation Modification of Contract.pdf | ||
| A00001-Standard Form 30 -NDAA-2021-KOSigned.pdf | ||
| Copy of 4. Blank SOSS.xls | XLS spreadsheet | |
| SF-30-A00002 -Amendment of Solicitation Modification of Contract.pdf | ||
| A00001-Standard Form 30 - Amendment of Solicitation_Modification of Contract.pdf | ||
| updated Copy of Attatchment 1-Blank SOSS.xls | XLS spreadsheet | |
| CYPRESS DS FY21 Solicitation.pdf | ||
| updated Copy of Attatchment 1-Blank SOSS.xls | XLS spreadsheet | |
| updated Attatchment 5-Notice for Filing Agency Protests.pdf | ||
| CYPRESS DS FY21 Solicitation.pdf | ||
| CYPRESS DS FY21 Solicitation.doc | DOC document | |
| Attachment 5 - USCG Ombudsman Notice.pdf | ||
| Attachment 4 - Request for Clarification Form.docx | DOCX document | |
| Attatchment 1-Blank SOSS.xls | XLS spreadsheet | |
| Attatchment 2-Spec updated rev1.pdf |
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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 .