Attachment 3 - Past Performance Information Form.docx
DOCX document 19 KB Posted
- Attached to
- USCGC FIR (WLB 213) DOCKSIDE REPAIR FY26
- Solicitation number
- 70Z08526QIBCT0048
About this file
This is a Past Performance Information Form template used to document an offeror's relevant contract experience for evaluation purposes in the USCGC FIR (WLB 213) Dockside Repair FY26 solicitation. The form appears in triplicate on the document and serves as a standardized template rather than completed submissions.
The form requires offerors to provide detailed information for each past performance reference, including the offeror's name, contract/order number or job identifier, customer company name and address, customer point of contact information with phone and email verification, total dollar value across all fiscal or calendar years including growth and option items, period of performance dates with the number of time extensions, a detailed description of work performed demonstrating relevance to the solicitation scope, and identification of any subcontractors with descriptions of their work extent and annual dollar values. This template does not contain specific past performance examples or completed entries, but rather outlines the structured information that offerors must submit to demonstrate their qualifications and experience relevant to the Coast Guard's dockside repair requirement for the vessel homeported in Cordova, Alaska.
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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 .