Attachment 3 - Past Performance References Form.pdf
PDF 235 KB Posted
- Attached to
- USAARL Hoist Replacement Federal contract opportunity
- Solicitation number
- HT9425-25-Q-0047
- Issued by
- Department of the Army
About this file
The document is a three-page Past Performance References Form template for the USAARL Hoist Replacement solicitation (HT9425-25-Q-0047). The form provides structured sections for offerors to document up to three past performance references, with fields including contract details such as company name, contract organization, contract/task order number, contract type, total awarded price, period of performance, and contracting officer and program manager contact information. Each reference section requires a description of the requirement's relevance to the current solicitation and an explanation of any performance issues, corrective actions, and results. The form includes checkboxes to indicate whether the reference is for the offeror or a proposed subcontractor, and whether Contractor Performance Assessment Reporting System (CPARS) documentation was completed.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| RFQ USAARL Hoist Amendment 02.pdf | ||
| Amendment 1 - Questions Received as of 6May2025.pdf | ||
| Attachment 2 - QASP.docx | DOCX document | |
| RFQ USAARL Hoist.pdf | ||
| Attachment 1 - PWS.docx | DOCX document |
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Text version
Attachment: PAST PERFORMANCE REFERENCES
No record of relevant or recent past performance Past Performance Reference # 1
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR:
WORK PERFORMED AS THE:
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed:
OFFEROR PROPOSED SUBCONTRACTOR
PRIME SUBCONTRACTOR
YES NO
Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS report for this reference are to be addressed.
Past Performance Reference # 2
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR:
WORK PERFORMED AS THE:
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed:
OFFEROR PROPOSED SUBCONTRACTOR
PRIME SUBCONTRACTOR
YES NO
Description of the Requirement: Provide a concise explanation of the work performed, specifically related
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS report for
Past Performance Reference # 3
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR:
WORK PERFORMED AS THE:
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed:
OFFEROR PROPOSED SUBCONTRACTOR
PRIME SUBCONTRACTOR
YES NO
Description of the Requirement: Provide a concise explanation of the work performed, specifically related
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS report for
| No record of relevant or recent past performance: |
| OFFEROR NAME: |
| COMPANY who performed this work: |
| OFFEROR: Off |
| PROPOSED SUBCONTRACTOR: Off |
| undefined: |
| PRIME: |
| SUBCONTRACTOR: |
| Name of Contracting Organization: |
| Contract Task Order Number for subcontracts provide the prime contract number and the subcontract number: |
| Contract Type: |
| Total Awarded PriceCost: |
| Final or Projected Final Total PriceCost: |
| Delivery datePeriod of performance including base and options if applicable: |
| Contracting Officers Name Email and Telephone Number: |
| Program Managers Name Email and Telephone Number: |
| North American Industry Classification System NAICS Code: |
| CPARSPPIRS Completed: |
| undefined_2: |
| YES: |
| NO: |
| Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements: |
| Performance Explain any performance issues or problems that occurred corrective actions taken and any expected or realized results based on those corrective actions Any issues discussed in a CPARS report for this reference are to be addressed: |
| OFFEROR NAME_2: |
| COMPANY who performed this work_2: |
| OFFEROR_2: |
| PROPOSED SUBCONTRACTOR_2: |
| undefined_3: |
| PRIME_2: |
| SUBCONTRACTOR_2: |
| Name of Contracting Organization_2: |
| Contract Task Order Number for subcontracts provide the prime contract number and the subcontract number_2: |
| Contract Type_2: |
| Total Awarded PriceCost_2: |
| Final or Projected Final Total PriceCost_2: |
| Delivery datePeriod of performance including base and options if applicable_2: |
| Contracting Officers Name Email and Telephone Number_2: |
| Program Managers Name Email and Telephone Number_2: |
| North American Industry Classification System NAICS Code_2: |
| CPARSPPIRS Completed_2: |
| undefined_4: |
| YES_2: |
| NO_2: |
| Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements_2: |
| Performance Explain any performance issues or problems that occurred corrective actions taken and any expected or realized results based on those corrective actions Any issues discussed in a CPARS report for this reference are to be addressed_2: |
| OFFEROR NAME_3: |
| COMPANY who performed this work_3: |
| OFFEROR_3: |
| PROPOSED SUBCONTRACTOR_3: |
| undefined_5: |
| PRIME_3: |
| SUBCONTRACTOR_3: |
| Name of Contracting Organization_3: |
| Contract Task Order Number for subcontracts provide the prime contract number and the subcontract number_3: |
| Contract Type_3: |
| Total Awarded PriceCost_3: |
| Final or Projected Final Total PriceCost_3: |
| Delivery datePeriod of performance including base and options if applicable_3: |
| Contracting Officers Name Email and Telephone Number_3: |
| Program Managers Name Email and Telephone Number_3: |
| North American Industry Classification System NAICS Code_3: |
| CPARSPPIRS Completed_3: |
| undefined_6: |
| YES_3: |
| NO_3: |
| Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements_3: |
| Performance Explain any performance issues or problems that occurred corrective actions taken and any expected or realized results based on those corrective actions Any issues discussed in a CPARS report for this reference are to be addressed_3: |
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