Attachment_4_-_Past_Performance_Information_Worksheet.doc
DOC document 37 KB Posted
- Attached to
- Folsom South Canal Cleaning
- Solicitation number
- 140R2022Q0073
About this file
This document provides a past performance information worksheet template for solicitation number 140R2022Q0073 for cleaning the Folsom South Canal. The worksheet requires contact information for references from previous government, commercial, or other contracts over the past five years, including the name and address of the organization, contract number, dates of contract and work performed, contract type and value, final invoiced amount, and technical, contracting, and environmental regulator points of contact. Offerors must also provide names, addresses, and phone numbers of any consultants or subcontractors used, as well as the title and brief description of each referenced project. The solicitation involves cleaning the Folsom South Canal and is issued by the Department of the Interior Bureau of Reclamation.
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| File | Type | Posted |
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| Attachment_1_-_Wage_Determination.pdf | ||
| Sol_140R2022Q0073.pdf | ||
| Attachment_3_-_Notice_to_Contractors_-_CPARS_(December_2015).docx | DOCX document | |
| Attachment_2_-_Maps_-__Images.docx | DOCX document |
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Text version
Solicitation 140R2022Q0073
Past Performance Information Worksheet
(See instructions on the following page)
1. Complete name of Government agency, commercial firm, or other organization
2. Complete address
| 3. Contract number or other reference and type |
| 4. Date of contract |
| 5. Date work commenced |
| 6. Date work was completed |
| 7. Contract Type and Contract Value |
| 8. Final amount invoiced or amount invoiced to date |
9a.
Owner Technical point of contact (name, title, company/agency, address, telephone number, fax number, and e-mail address) 9b.
Owner Contracting point of contact (name, title, company/agency, address, telephone number, fax number, and e-mail address)
9c.
Environmental Regulator point of contact (name, title, company/agency, address, telephone number, fax number, and e-mail address) 10.
Consultants and partners/subcontractors used (names, addresses, and phone numbers)
11. Project/Contract Title
12. Description
Attach additional sheet if necessary (one additional sheet maximum)
Instructions for Completing the Reference Information Worksheet
Item 1.
Insert the complete name and address of the customer, including parent organization, if any. Do not use acronyms.
Item 2.
Insert the customer’s complete address, including both post office box and street addresses, if applicable.
Item 3.
Insert any contract number or other contract reference used by the customer and contract type.
Item 4.
Insert the date on which the contract came into existence.
Item 5.
Insert the date on which you started to perform the work.
Item 6.
Insert the date on which the customer agreed that the work was satisfactorily completed (including substantial completion), aside from any pending or on-going administrative actions, claims negotiations, or litigation.
Item 7.
Insert the contract type and contract value (separately listing fee if cost-type).
Item 8.
Insert the final sum of all invoices, or the sum of all invoices to date, including agreed upon and disputed amounts, paid and awaiting payment.
Item 9a.
Insert the name, title, company/agency, address, telephone number, facsimile number, and e‑mail address (if available) of the program or project manager, quality assurance representative, or other customer technical representative who is most familiar with the quality of your work under the contract.
Item 9b.
Insert the name, title, company/agency, address, telephone number, facsimile number, and e‑mail address (if available) of the contracting officer, purchasing agent, or other customer contracting or purchasing representative who is most familiar with your work under the contract.
Item 9c.
Insert the name, title, company/agency, address, telephone number, facsimile number, and e‑mail address (if available) of (a) lead environmental regulator(s) or a State regulatory office director under whose authority environmental regulations would be enforced.
Item 10.
Insert names, addresses, and phone numbers of consultants and partners/subcontractors used in the last five years.
Item 11.
Insert the title of the project and/or contract.
Item 12.
Provide brief description of project.
File details come from the government source that posted it. Updated .