Attachment 5 - Past Performance Information.pdf
PDF 142 KB Posted
- Attached to
- Heavy Equipment Rental
- Solicitation number
- FA527026QA029
About this file
This is a Past Performance Information form for RFQ No. FA527026QA029, Heavy Equipment Rental, issued by the 18th Contracting Squadron, U.S. Air Force. The form is a template designed to collect past performance data from offerors as an evaluation factor in their proposal submissions. Offerors are instructed to provide relevant past performance information from work performed for either the U.S. Government or private companies, ensuring the performance is relevant to heavy equipment rental services. The form includes a table with columns for Contract Number, Customer, Contract Amount (in Yen), Period of Performance (Start–End), Satisfactory Rating, and Prime or Subcontractor designation. One example entry is provided: Contract FA527024P000X for 1 Special Forces Group, U.S. Army, with a contract amount of 5,700,000 Yen, performance period from January 1, 2023 to December 31, 2023, a satisfactory rating of 3 (Satisfied), and performed as prime (P).
The form instructs offerors that Satisfactory Ratings are rated on a scale of 1 to 4, with ratings provided by the company or customer for whom work was performed: 1 = Not Satisfied, 2 = Somewhat Satisfied, 3 = Satisfied, and 4 = Very Satisfied. The completed form must include a Certification Statement signed by an authorized individual certifying the accuracy of the information provided, with signatures acceptable in either Japanese or English. The document must be submitted as a PDF file, and any 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 - PWS 26QA029 15 Jun 2026.pdf | ||
| Attachment 4 - BPA Terms and Conditions.pdf | ||
| RFQ_FA527026QA029.pdf | ||
| Attachment 2 - Price Exhibit Heavy Equipment Rental.xlsx | XLSX spreadsheet | |
| Attachment 3 - Clauses and Provisions.pdf |
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Text version
Past Performance Information
RFQ No.: FA527026QA029, Heavy Equipment 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 .