Attachment 3 - Past Performance Information Form.docx

DOCX document 19 KB Posted

Attached to
USCGC KENNEBEC DRYDOCK FY 26
Solicitation number
70Z08525QIBCT0024
Issued by

About this file

The document is a Past Performance Information Form template for federal contract submissions. The form is designed for offerors to provide detailed historical contract references, requiring comprehensive information about previous work, including contract identifiers, customer details, total dollar value, period of performance, work descriptions, and subcontractor involvement.

The associated federal contract opportunity is a solicitation (RFQ #70Z08525QIBCT0024) issued by the US Coast Guard for a drydock service for the USCGC KENNEBEC vessel, located in Coast Guard District 5, Virginia. Key details include a fixed firm price contract type, a document request deadline of 8 AM PST on 10 November 2025, and specific export control requirements mandating vendor certification through the Joint Certification Program. Potential vendors must coordinate site visits with CWO Erik Bratland and Ou Saephanh and submit clarification requests using the prescribed attachment.

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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 .