Attachment 5 - Past Performance Information Form.pdf

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Attached to
MAHRS Human Resources Information Technology Systems
Solicitation number
N0018926RB014
Issued by

About this file

This is a Past Performance Information Form template used to document an offeror's relevant contract history and experience for federal procurement evaluation purposes.

The form requires offerors to provide comprehensive details about a specific past contract or project, including the offeror name, contract number, customer information, and a primary point of contact with verified telephone number and email address. Offerors must document the total dollar value expended over the past five years (with special instructions for vehicle ordering contracts to show both estimated annual amounts and actual orders performed), the average number of full-time equivalent personnel deployed annually, and the complete period of performance. The form includes a substantial section for describing the work performed in sufficient detail to demonstrate relevance to the current solicitation. Additionally, offerors must disclose any quality, delivery, or cost problems encountered during performance, along with the corrective actions taken and an assessment of their effectiveness. The form also requires identification and description of all subcontractors utilized, including the extent of work performed by each subcontractor and their annual dollar values. Multiple copies of this form are typically submitted as part of an offeror's proposal to establish past performance qualifications and demonstrate capability to successfully execute the solicited work.

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Text version

Past Performance Information Form Form ___ of ___

Name of Offeror:

Contract Number, order number, or identifier:

Customer Name & Location:

Customer Point of Contact (Name & Title):

Telephone Number (PLEASE VERIFY):

and e-mail address

Total dollar amount for this effort during the past five (5) years:

(For ordering vehicles, show both the annual estimated contract amount and the amount of orders actually performed):

(Show contract year and dollars)

Number of personnel (FTE) performing per year (avg.):

Period of Performance: From:

To:

Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the solicitation:

Quality, delivery, or cost problem(s); corrective action(s) taken; and effectiveness of the corrective action(s):

Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:

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