Attachment 3 Past Performance Information Form.docx

DOCX document 19 KB Posted

Attached to
USCGC OSAGE FY24DD
Solicitation number
70Z08523QIBCT0014
Issued by

About this file

This document contains a Past Performance Information Form template to be completed by offerors responding to Solicitation Number 70Z08523QIBCT0014 for the US Coast Guard vessel USCGC OSAGE's fiscal year 2024 depot-level maintenance and repair. The form requests information on up to three previous contracts the offeror has completed, including customer references, total value, period of performance, extent of any subcontractor work, and a description of the work performed and its relevance to the solicitation's scope. Completing and submitting this past performance form will allow the Coast Guard to evaluate the offeror's experience and performance on similar past efforts.

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Other files

File Type Posted
Attachment 6 justification WI 17.pdf PDF
Attachment 2 Specification.pdf PDF
Attachment 4 Request for Clarification Form.docx DOCX document
Solicitation CGC OSAGE DD 70Z08523QIBCT0014.pdf PDF
Attachment 1 SOS Section B.xlsx XLSX spreadsheet
Attachment 5 USCG Ombudsman Notice.docx DOCX document

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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 .