Attachment 4 - Past Performance Reference.docx
DOCX document 22 KB Posted
- Attached to
- Market Research Study Federal contract opportunity
- Solicitation number
- 733510-22-Q-0070
- Issued by
- Small Business Administration
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Q and A 5-19.docx | DOCX document | |
| Amendment 0001.pdf | ||
| Q and A.docx | DOCX document | |
| SF 1449 - 73351022Q0070.pdf | ||
| Provisions and Clauses.pdf | ||
| Attachment 3 - Assessor Past Performance Questionnaire.docx | DOCX document | |
| SBA_Statement of Work.pdf |
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733510-22-xxxxQ-0070 Attachment 4 – PAST PERFORMANCE REFERENCE
Attachment 4 : Past Performance Reference
*Fill out 1 of these for each Past Performance reference*
1. Referenced Contract Data:
Contractor Name:
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 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:
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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