Attachment 3 - Past Performance Information Form.docx
DOCX document 19 KB Posted
- Attached to
- USCGC CYPRESS (WLB-210) DRYDOCK REPAIR FY2026
- Solicitation number
- 70Z08526QIBCT0004
About this file
The document is a Past Performance Information Form template for federal contract submissions, designed to capture detailed historical contract performance data. The form requires offerors to provide comprehensive information about previous contracts, including customer references, contract values, period of performance, detailed work descriptions, and subcontractor involvement. Each section allows multiple forms to be completed, enabling contractors to showcase their experience across different projects relevant to the solicitation.
The associated federal contract opportunity is a solicitation (RFQ #70Z08526QIBCT0004) by the US Coast Guard for drydock repair of the USCGC CYPRESS (WLB-210) vessel homeported in Alaska District 17 in FY2026. The solicitation will result in an Indefinite Delivery Requirements contract, with the Contracting Officer planning to award based on initial submissions. Key dates include a question submission deadline of 8 AM PST on 12 November 2025 and a drawing request deadline of 8 AM PST on 08 November 2025. Vendors outside District 17 may also submit offers, and all questions and responses will be posted on SAM.gov.
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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 .