Attachment 5 - Past Performance List of Reference.pdf

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Attached to
Petroleum, Oil and Lubrication Underground Storage Tank Testing
Solicitation number
FA465925QM010
Issued by

About this file

The document is a Past Performance List of References template for a federal contract opportunity (Solicitation Number FA465924Q0002 for CSFS Custodial Services). The two-page form is designed for contractors to provide detailed information about their previous contract performance, including contract numbers, descriptions of work performed, contract periods, contracting agencies, point of contact details, and contract values. The template requires vendors to document up to three past performance references, with the option to provide additional details on page two about subcontractors, affiliates, or joint ventures involved in those previous contracts, including their specific functions and impact on contract performance.

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Text version

List of References

FA465924Q0002

CSFS Custodial Services

PAST PERFORMANCE LIST OF REFERENCES

Company 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 #

& EMAIL

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:

Total: $

Annual: $

POP for Annual:

Total: $

Annual: $

POP for Annual:

List of References

FA465924Q0002

CSFS Custodial Services

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.

1.

2.

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