Attachment 5 - Past Performance Information.pdf
PDF 141 KB Posted
- Attached to
- Portable Latrine and Handwash Station Rental
- Solicitation number
- FA527026QA016
About this file
This is a Past Performance Information form for RFQ No. FA527026QA016, issued by the 18th Contracting Squadron, U.S. Air Force, for Portable Latrine and Handwash Station Rental services. The form serves as a template for offerors to submit documentation of relevant past performance experience, which will be evaluated as a technical factor in the competitive evaluation process. Offerors may submit past performance information from work performed for either U.S. Government agencies or private companies, provided the experience is relevant to the rental services specified in the RFQ.
The form requires offerors to provide specific contract details including contract number, customer name, contract amount in Yen, period of performance, satisfactory rating, and designation of whether the offeror performed as prime or subcontractor. Satisfactory ratings are scaled from 1 (Not Satisfied) to 4 (Very Satisfied), with ratings to be provided by the respective customer or company for which work was performed. An example contract entry is provided showing a reference past performance contract (FA527024P000X) with 1 Special Forces Group, U.S. Army, valued at 5,700,000 Yen, performed from January 1 to December 31, 2023, with a Satisfactory Rating of 3, performed as Prime contractor. Offerors must complete the form with accurate information, obtain certification from an authorized company representative (in either English or Japanese), and submit the completed document as a PDF file. Questions regarding the form should be directed to the Points of Contact listed in the RFQ document.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1 - Price List Rental.xlsx | XLSX spreadsheet | |
| Attachment 3 - Clauses and Provisions FA527026QA016.pdf | ||
| Attachment 2 - PWS Rental 23Mar2026.pdf | ||
| Attachment 4 - BPA Terms and Conditions.pdf | ||
| RFQ_FA527026QA016.pdf |
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Text version
Past Performance Information
RFQ No.: FA527026QA016, Portable Latrine and Handwash Station Rental
OFFEROR:
DATE:
Instructions to Offeror:
1. The purpose of this document is to provide past performance information to the 18th Contracting Squadron, U.S. Air Force, about your company, listed as OFFEROR. The information herein will be evaluated for technical acceptance by the requiring agency.
2. You may provide information on past performance, performed for the U.S. Government or private companies;
please ensure past performance is relevant to the services in the subject RFQ.
3. Past performance is an evaluation factor of your offer as stated in the RFQ.
4. Provide the information requested above to the best of your ability.
5. Satisfactor Rating is rated 1 to 4; ratings shall be provided to your company by the company/customer for which you performed; the ratings are as follows:
1 Not satisfied 2 Somewhat satisfied 3 Satisfied 4 Very Satisfied
6. An example (in blue text) is provided to you for reference. Delete this text prior to submission of this document.
7. For Prime or Subcontractor, please provide if you performed as the prime (P) or subcontractor (S) for the respective contract.
8. Questions regarding this form shall be directed the POCs listed in the RFQ document or as directed.
Contract Number Customer Contract Amount
(Yen)
Period of Performance (Start – End)
Satisfactory Rating
Prime or Subcontractor?
FA527024P000X
1 Special Forces
Group, U.S.
Army
5,700,000 1 Jan 23 – 31 Dec 23 3 P
Past Performance Information
9. For the Certification Statement, the individual by which this report was prepared must fill in their name in the blank space and sign their name on the line; Japanese or English is acceptable.
10. This document shall be submitted as a PDF file.
Certification Statement
I, ___________________________, on behalf of the listed company, hereby certify that the information provided herein is true and accurate.
SIGNATURE
TITLE/POSITION
File details come from the government source that posted it. Updated .