Attachment 4 - Past Performance Information Sheet.docx

Attachment 4 – Past Performance Information Sheet

INSTRUCTIONS TO OFFERORS:

Complete one Past Performance Information Sheet for each of the three (3) past performance references submitted. The references must be recent and relevant as defined in the RFQ. Recent is defined as work performed within the past five (5) years from the issuance date of this RFQ. Relevant is defined as work involving Integrated Solid Waste Management (ISWM), including the collection, hauling, and disposal of municipal solid waste and refuse. If a reference is for a project performed by a subcontractor or teaming partner, clearly identify the company that performed the work and describe their specific role in the project.

Project Reference ______ of 3

1. GENERAL INFORMATION

Project Title:

Contract/Order Number:

2. CUSTOMER / AGENCY INFORMATION

Customer/Agency Name:

Point of Contact (POC) Name:

POC Title:

POC Phone Number:

POC Email Address:

Is this POC willing to be contacted for a performance interview/survey? (Circle One): YES / NO

3. CONTRACT DETAILS

4. DESCRIPTION OF WORK PERFORMED

Provide a detailed narrative of the work performed. Crucially, describe how this project is relevant to the requirements in this RFQ's Performance Work Statement (PWS). Specifically address the scope (e.g., types of waste collected like MSW), magnitude (e.g., tonnage managed, population served, or size of the installation), and complexity (e.g., special event support, landfill reporting requirements, or adherence to environmental regulations) of your effort.

5. EVIDENCE OF PERFORMANCE QUALITY

Indicate the type of performance assessment available for this project. If available, please attach any letters of recommendation.

· CPARS: Is a CPARS record available for this contract/order? (Circle One): YES / NO If YES, provide the CPARS rating(s) for key evaluation areas (e.g., Quality, Schedule, Cost Control, Management):

· Letter of Recommendation: Is a letter of recommendation attached? (Circle One): YES / NO

· Other: Please describe any other form of performance assessment provided (e.g., customer survey).

By submitting this information, the offeror grants the U.S. Government permission to contact the listed customer points of contact to verify the information provided and to inquire about the offeror's performance on the cited contracts.