Attachment 5 - Past Performance List of References.pdf
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- Attached to
- Oil Water Separator (OWS) Grand Forks AFB, ND
- Solicitation number
- FA465926QM003
About this file
This is a Past Performance List of References template used in federal contract proposals to document a company's relevant contract history and experience.
The template requires contractors to provide detailed information on up to three past performance references, including the contract number (with task order numbers if applicable), a description of work performed specifying whether the work was performed as a prime contractor or subcontractor, details such as number of full-time equivalents (FTEs), position types, and percentage of work performed. For each contract, proposers must list the period of performance (POP), the contracting agency point of contact with phone number and email, and contract values broken down into total contract amount, annual amount, and the POP for the annual amount. Additionally, contractors must indicate whether the work was performed by a proposed subcontractor, affiliate, or joint venture, with instructions to complete page two if applicable.
Page two of the template requires supplemental information for any subcontractors, affiliates, or joint ventures involved in either the proposed effort or past performance examples. Contractors must provide the contract number, identify the subcontractor/affiliate/joint venture entity, and describe their specific function, tasks, and impact on performance, including the percentage of work, cost splitting, and type of services provided (such as accounting or recruiting). This two-page form allows federal agencies to assess a contractor's relevant experience and the qualifications of any proposed team members or past performance partners.
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Text version
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 #
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.
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File details come from the government source that posted it. Updated .