Attachment 4 Past Performance Questionnaire.docx

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Attached to
HQMC AV Capabilities Integration Services Federal contract opportunity
Solicitation number
M00264-23-Q-0016-Request-For-Quotes
Issued by
United States Marine Corps

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HQMC AV Capabilities Integration Services M00264-23-Q-0016 Attachment 4 – PAST PERFORMANCE QUESTIONNAIRE

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:

Has this effort been evaluated with CPARS/FAPIIS?

Please select from the following as it applies to this contract:

Contracting Role
|_| PRIME
|_| SUBCONTRACTOR
Termination History
|_| Convenience
|_| Default
|_| N/A

Requirement Description: Include a concise description of the work performed, specific responsibilities of the Quoter, 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:

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:

File details come from the government source that posted it. Updated .