Attachment 3 - Past Performance Information Form.docx

DOCX document 19 KB Posted

Attached to
USCGC MAPLE DOCKSIDE
Solicitation number
70Z08523QIBCT45022
Issued by

About this file

This document contains a combined synopsis and solicitation for commercial services from the United States Coast Guard. The solicitation seeks various dockside repairs of the USCGC Maple, a 225-foot seagoing buoy tender, to be performed over 42 calendar days from March 7th to May 24th, 2023 at its home pier in Atlantic Beach, North Carolina. Services include ship repair and associated support work. The solicitation will result in a firm fixed price contract awarded under the Federal Acquisition Regulation to a small business, with a NAICS code of 336611 and size standard of 1,250 employees. Questions are due by November 2nd and quotations by November 7th, with award anticipated on or about January 6th, 2023.

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Other files

File Type Posted
Amendment 0002 USCGC MAPLE DS.pdf PDF
225-WLB_512_16_1_-_B.pdf PDF
Amendment 0001 USCGC MAPLE DS.pdf PDF
MAPLE DS GFE.xlsx XLSX spreadsheet
(S1.12) Combined Synopsis Sol CGC MAPLE DS.doc DOC document
Attachment 4 - Request for Clarification.docx DOCX document
Attachment 5 - USCG Ombudsman Notice.docx DOCX document
Attachment 2 - Specification.pdf PDF
Attachment 1 - SOS.xls XLS spreadsheet
Attachment 6 - Redacted J and A.pdf 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 .