Attachment 5 - Past Performance List of_References.pdf

PDF 499 KB Posted

Attached to
MC-CBRN Medical Emergency Manager Federal contract opportunity
Solicitation number
FA301626Q7062
Issued by
Department of the Air Force Air Education and Training Command

About this file

This is a Past Performance List of References template for the MC-CBRN Medical Emergency Manager contract (FA301626Q7062). The form is designed for contractors to document their relevant past performance on similar contracts to demonstrate qualifications for this federal solicitation.

Page 1 requires contractors to list up to three past performance references with the following details: company name, CPARS registration status, contract number(s) including task order numbers, detailed description of work performed (including whether performed as prime or subcontractor, number of FTEs, position types, and percentage of work completed), contract period of performance, contracting agency point of contact information with phone and email, and total contract values broken down by total amount, annual amount, and period for annual amounts. Contractors must also indicate whether the work was performed as a proposed subcontractor, affiliate, or joint venture. Page 2 provides supplemental space for contractors to describe the function and tasks of any subcontractors, affiliates, or joint ventures involved in the referenced past performance, including percentage of work, cost splitting, and types of services provided. The template accommodates documentation of subcontractor involvement either in current proposals or in previously completed efforts.

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Text version

Attachment 5 – Past Performance List of References MC-CBRN Medical Emergency Manager

FA301626Q7062

PAST PERFORMANCE LIST OF REFERENCES

Company Name:

CPARS

Y/N

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. )

FTE

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 AS 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 5 – Past Performance List of References MC-CBRN Medical Emergency Manager

FA301626Q7062

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 .