Attachment 5 Past Performance List of References.pdf

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Attached to
FY 26 Elevator Maintenance
Solicitation number
FA465926QM0001
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This is a template for documenting past performance references as part of a federal contract proposal submission. The form requires contractors to list up to three relevant past performance examples, with detailed information about each contract including the contract number (with task order numbers if applicable), description of work performed, period of performance, contracting agency point of contact information, and total contract values broken down by total amount, annual amount, and the period applicable to the annual amount. Contractors must also indicate whether the past performance was performed by a proposed subcontractor, affiliate, or joint venture, with a requirement to complete Page 2 if applicable.

Page 2 of the template requires detailed explanations for any subcontractors, affiliates, or joint ventures involved in the referenced contracts or proposed for the current effort. For each of the three contracts listed, contractors must describe the function, tasks, and third-party impact on performance, including the percentage of work performed, cost splitting arrangements, and type of services provided (such as accounting or recruiting). The instructions distinguish between performance delivered by proposed team members for this effort versus performance previously delivered by the contractor as a subcontractor or affiliate on past contracts.

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Attachment 4-Past Performance List of References

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:

Attachment 4-Past Performance List of References

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.

1.

2.

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