Attachment 3 Past Performance Information Form.docx

DOCX document 19 KB Posted

Attached to
USGCG OBION Dry Dock
Solicitation number
70Z08523QIBCT177635
Issued by

About this file

This document includes a combined synopsis and solicitation for ship repair services. The United States Coast Guard is seeking a firm fixed price contract for dry dock repairs of its 65-foot USCGC OBION River Buoy Tender and 100B barge at the contractor's facilities between September 5, 2023 and November 14, 2023. Services include all necessary labor, materials, equipment and supplies. The solicitation is set aside for small businesses with a size standard of 1,300 employees and is issued under FAR Part 12 and FAR Subpart 13.5 Simplified Procedures for Certain Commercial Items. Questions are due by May 4, 2023 and quotations are due by May 11, 2023. The anticipated award date is July 7, 2023. The place of performance is the contractor's facilities and the cutter's homeport is in Owensboro, Kentucky.

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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 .