Attachment 3 - Past Performance Information Form.docx
DOCX document 19 KB Posted
- Attached to
- USCGC WILLOW (WLB-202) DS FY23
- Solicitation number
- 70Z08523QLREP0002
About this file
This document is a solicitation for dockside repair services for the USCGC WILLOW (WLB-202). The solicitation requests quotes for labor, materials, and equipment to perform repairs specified in the attached statement of work at the place of performance in North Carolina from January 2 to March 13, 2023. Quotes are due by November 14, 2022. The North American Industry Classification System code for this small business set-aside is 336611 with a size standard of 1,250 employees. Site visits must be completed by October 28. The soliciting agency is the Department of Homeland Security United States Coast Guard.
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Other files
| File | Type | Posted |
|---|---|---|
| 70Z08523QLREP0002 Amd 0007.pdf | ||
| 70Z08523QLREP0002 Amd 0006.pdf | ||
| 70Z08523QLREP0002 Amd 0005.pdf | ||
| 70Z08523QLREP0002 Amd 0004.pdf | ||
| 70Z08523QLREP0002 Amd 0003 signed.pdf | ||
| 70Z08523QLREP0002 Amd 0002.pdf | ||
| Amend 0002 - Attachment 1 Schedule of Pricing.xls | XLS spreadsheet | |
| Attachment 3 - Past Performance Information Form.docx | DOCX document | |
| Attachment 4 - Request for Clarification Form.docx | DOCX document | |
| SF30 A00001 WILLOW.pdf | ||
| SF30 A00001 WILLOW.pdf | ||
| Revised 70Z08523QLREP0002 RFQ and Specs Willow.pdf | ||
| Attachment 4 - Request for Clarification Form.docx | DOCX document | |
| Attachment 3 - Past Performance Information Form.docx | DOCX document | |
| 70Z08523QLREP0002 RFQ and Specs Willow.pdf | ||
| Attachment 1 -Schedule of Pricing.xls | XLS spreadsheet | |
| Attachment 4 - Request for Clarification Form.docx | DOCX document | |
| Attachment 5 - Non-Disclosure Agreement.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 .