Attachment 3 - Past Performance Information Form.docx
DOCX document 19 KB Posted
- Attached to
- USCGC WEDGE Dry Dock Repair FY 22
- Solicitation number
- 70Z085-22-Q-P4556500
About this file
This document includes a solicitation for ship repair services and a past performance reference form. The solicitation requests quotes by June 14th, 2022 to perform dry dock repairs on a 75-foot river class buoy tender and 90-foot barge from August 16th to October 25th, 2022 at the contractor's facility. The requirement is set aside for small businesses with a NAICS code of 336611 and size standard of 1,250 employees. The agency is the Department of Homeland Security, US Coast Guard. Offerors must complete the past performance reference form to provide references for similar ship repair work for evaluation. The projected award date is July 12th, 2022 for a firm fixed price contract under FAR Part 12 for commercial items and FAR Subpart 13.5 for simplified procedures.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment 5 - USCG Ombudsman Notice.pdf | ||
| Attachment 2 - Wedge Work Specification.pdf | ||
| Attachment 1 - WEDGE Work Item.xls | XLS spreadsheet | |
| Attachment 6 - J and A - WEDGE WI 10_Redacted.pdf | ||
| Attachment 4 - Request for Clarification Form.docx | DOCX document | |
| USCGC WEDGE DD FY22 Solicitation - Final.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .