Attachment 4 Past Performance Questionnaire.docx
DOCX document 19 KB Posted
- Solicitation number
- M00264-22-R-0008
- Issued by
-
United States Marine Corps
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Text version
M00264-22-R-0008
Attachment 4 : Past Performance Questionnaire
*Fill out 1 of these for each Past Performance reference*
1. Referenced Contract Data:
Contractor Name:
Contractor CAGE Code and DUNS Number:
Contract Number:
Client / Agency:
Type of Contract:
Total Dollar Value of Contract (including options)
Total Dollar Value of work performed:
Period of Performance:
Program Title:
Please select from the following as it applies to this contract:
| Contracting Role |
| |_| PRIME |
| |_| SUBCONTRACTOR |
| Reference in Official CPARS |
| |_| Yes |
| |_| No |
| Termination History |
| |_| Convenience |
| |_| Default |
| |_| N/A |
Requirement Description: Include a concise description of the work performed, specific responsibilities of the Offeror, major deliverables produced, performance measures/service levels applied, any problems/issues that occurred and correction action taken.
Describe how the scope is relevant to this requirement:
Describe how the size is similar to this requirement:
Describe how the complexity is similar to this requirement:
1. Contact Information for Reference and/or Assessor:
Name
Title
Phone Number/Email Address:
Identify their role in the contract award or administration and the period of involvement.
| Role |
| Period of Involvement |
Procuring Contracting Officer (PCO)
Contracting Officer’s Representative (COR)
Technical Project Lead/Project Officer
Other:
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