Attachment 3_Past Performance List of References.pdf

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Attached to
CCAF Advisor
Solicitation number
F3G3KA6113A001
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About this file

This document is a template for vendors to submit their past performance references as part of a federal contract proposal response.

The form requires vendors to provide detailed information on up to three past performance examples, including the contract number (with task order numbers if applicable), a description of work performed (indicating whether performed as prime contractor, subcontractor, affiliate, or joint venture partner), the contract period of performance, contracting agency point of contact with phone and email, and complete contract values (total contract amount, annual amount, and the period for which the annual amount applies). The second page of the template addresses situations where vendors propose to use subcontractors, affiliates, or joint ventures on the current effort, or where they are citing past performance work completed in a subcontractor, affiliate, or joint venture capacity. For each of these scenarios, vendors must describe the specific functions, tasks, and any third-party effects on performance. The form is structured to accommodate three separate contract references with identical information requirements for each entry.

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Solicitation - FA486126Q0012.pdf PDF
Attachment 2_PWS CCAF Advisor.pdf PDF
Attachment 1_Price List.pdf PDF

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Attachment 3 – Past Performance List of References

PAST PERFORMANCE LIST OF REFERENCES

Vendor Name: _________________________________ Vendor POC: __________________________________

CONTRACT NUMBER

(include task order number(s) if applicable)

DESCRIPTION OF WORK PERFORMED

(performed as a prime/sub-contractor)

CONTRACT

PERIOD OF

PERFORMANCE

(POP)

CONTRACTING AGENCY

POC/CUSTOMER NAME, PHONE #

& EMAIL

CONTRACT VALUES

(include total contract amount, annual amount and POP for annual amount)

PERFORMED BY A

PROPOSED

SUBCONTRACTOR

AFFILIATE, OR JOINT

VENTURE?

(If yes, please complete Page

2)

Total: $

Annual: $

POP for Annual:

Total: $

Annual: $

POP for Annual:

Total: $

Annual: $

POP for Annual:

Attachment 3 – Past Performance List of References

CONTRACT NUMBER

(include task order number(s) if applicable)

SUBCONTRACTOR,

AFFILIATE, OR

JOINT VENTURE

DESCRIBE FUNCTION/TASK/3RD PARTY AFFECT ON PERFORMANCE

1. If proposing to use a Subcontractor, Affiliate, or Joint Venture for this effort

2. If contractor proposing on this effort provided past performance they performed as a Subcontractor, Affiliate, or Joint Venture, 1.

2.

1.

2.

1.

2.

Vendor Name:
Vendor POC:
CONTRACT NUMBER include task order numbers if applicable1:
DESCRIPTION OF WORK PERFORMED performed as a primesubcontractor1:
CONTRACT PERIOD OF PERFORMANCE POP1:
CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAIL1:
PERFORMED BY A PROPOSED SUBCONTRACTOR AFFILIATE OR JOINT VENTURE If yes please complete Page 2Total Annual POP for Annual:
CONTRACT NUMBER include task order numbers if applicable2:
DESCRIPTION OF WORK PERFORMED performed as a primesubcontractor2:
CONTRACT PERIOD OF PERFORMANCE POP2:
CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAIL2:
PERFORMED BY A PROPOSED SUBCONTRACTOR AFFILIATE OR JOINT VENTURE If yes please complete Page 2Total Annual POP for Annual_2:
CONTRACT NUMBER include task order numbers if applicable3:
DESCRIPTION OF WORK PERFORMED performed as a primesubcontractor3:
CONTRACT PERIOD OF PERFORMANCE POP3:
CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAIL3:
PERFORMED BY A PROPOSED SUBCONTRACTOR AFFILIATE OR JOINT VENTURE If yes please complete Page 2Total Annual POP for Annual_3:
DESCRIBE FUNCTIONTASK3RD PARTY AFFECT ON PERFORMANCE 1 If proposing to use a Subcontractor Affiliate or Joint Venture for this effort 2 If contractor proposing on this effort provided past performance they performed as a Subcontractor Affiliate or Joint Venture:
1:
1_2:
2:
1_3:
1_4:
2_2:
1_5:
1_6:
2_3:

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