Attachment 3 - Past Performance Information Form.pdf
PDF 67 KB Posted
- Attached to
- USCGC KANKAKEE (WLR-75F) DD FY21
- Solicitation number
- 70Z085-21-Q-P45074
About this file
This document contains a past performance information form and details of a federal contract opportunity for repair work on the USCGC KANKAKEE. The solicitation seeks repair services for the 130' USCGC KANKAKEE and its barge at an indefinite delivery indefinite quantity with a one year base period and four one-year options. Services include ship repair, associated support work, and potential additional work items. The past performance form collects references and details on prior contracts for evaluation. The contracting agency is the Department of Homeland Security US Coast Guard.
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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:
PAST PERFORMANCE INFORMATION FORM Form ____ of ____
Name of Offeror:
Contract Number, Order
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
Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by
PAST PERFORMANCE INFORMATION FORM Form ____ of ____
Name of Offeror:
Contract Number, Order
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
Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by
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