Attachment 3 Past Performance Information Form.docx

DOCX document 19 KB Posted

Attached to
Dry-Dock: USCGC KANAWHA FY24 DD
Solicitation number
70Z08524QIBCT0013
Issued by

About this file

This document is a Past Performance Information Form, which is a required attachment for a federal contract opportunity for dry-dock repairs of the USCGC KANAWHA (WLR 75407) 75-foot Class River Buoy Tender and USCG 130-foot Barge (13073). The form requests information on the offeror's previous contract performance, including the contract number, customer reference details, total dollar value, period of performance, work description, and any subcontractor utilization. The related federal contract opportunity is a Request for Quotation (RFQ) issued by the Department of Homeland Security U.S. Coast Guard as a small business set-aside. The requirement is for the contractor to furnish all necessary facilities, labor, materials, and equipment to perform the dry-dock repairs, with a period of performance from September 3, 2024 to November 11, 2024. Quotations must be submitted by May 23, 2024, and the anticipated award date is on or about July 5, 2024.

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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 .