Attachment 4 - Past Performance References.pdf
PDF 114 KB Posted
- Attached to
- Anatomic Pathology Services at Travis AFB, CA Federal contract opportunity
- Solicitation number
- FA442724R0015
About this file
This document is a Past Performance Reference form that requests information about the vendor's previous federal contracts. The form asks for details on the contract number, description of work performed, contract period of performance, contracting agency contact information, contract values, and whether the work was performed by a proposed subcontractor, affiliate, or joint venture. If the work was performed by a subcontractor, affiliate, or joint venture, the form requests additional details on their role and percentage of the work. This information is likely being collected as part of the proposal submission requirements for the federal contract opportunity titled "Anatomic Pathology Services at Travis AFB, CA" with Solicitation Number FA442724R0015, which is being issued by the Department of the Air Force Air Mobility Command.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 1 - Q and A.pdf | ||
| Solicitation - FA442724R0015.pdf | ||
| Attachment 2 - Pricing V2.xlsx | XLSX spreadsheet | |
| Attachment 5 - Past Performance Questionnare.pdf | ||
| Attachment 1 - PWS.pdf | ||
| Attachment 3 - Instructions to offerors.pdf | ||
| Attachment 6 - WD 2015-5655 (rev 20) 10 May 24.pdf |
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Text version
Attachment 4
PAST PERFORMANCE LIST OF REFERENCES
Vendor Name:
CONTRACT NUMBER
(include task order number(s) if applicable)
DESCRIPTION OF WORK PERFORMED
(performed as a prime/sub-contractor, details i.e.
number of FTE, position type, full-time or session-based, %performed, etc. )
CONTRACT
PERIOD OF
PERFORMANCE
(POP)
CONTRACTING AGENCY
POC/CUSTOMER NAME, PHONE #
CONTRACT VALUES
(include total contract amount, annual amount and POP for annual amount)
PERFORMED BY A
PROPOSED
SUBCONTRACTOR
AFFILIATE, OR
JOINT VENTURE?
(If yes, please complete Page 2)
Total: $
Annual: $
POP for Annual:
Attachment 4
CONTRACT NUMBER
(include task order number(s) if applicable)
SUBCONTRACTOR,
AFFILIATE, OR
JOINT VENTURE
DESCRIBE FUNCTION/TASK/3RD PARTY AFFECT ON PERFORMANCE
1. If proposing to use a Subcontractor, Affiliate, or Joint Venture for this effort, include percentage of work, splitting of cost, type of services i.e. accounting, recruiting, etc they will perform for this effort (provide information below)
2. If contractor proposing on this effort provided past performance they performed as a Subcontractor, Affiliate, or Joint Venture, include percentage of work, splitting of cost, type of services performed, i.e. accounting, recruiting, etc for that effort (provide information below)
1.
2.
File details come from the government source that posted it. Updated .