Attachment 4-Past Performance Information Form .pdf

ATTACHMENT 4- PAST PERFORMANCE INFORMATION FORM

PAST PERFORMANCE INFORMATION FORM Form ___ of ___

Name of Offeror:

Contract Number, order number, or identifier:

Customer Name & Location:

Customer Point of Contact (Name & Title):

Telephone Number and e-mail address

(PLEASE VERIFY):

Total dollar value for this effort broken into annual increments:

(For ordering vehicles, show both the annual estimated contract amount and the amount of orders actually performed)

(Show the period of performance and dollars for that period)):

Number of personnel (FTE) performing per year (avg.):

Period of Performance: From:

To:

Method of Obtaining Past Performance CPARS Past Performance Questionnaire Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:

Scope:

Magnitude:

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: