Attachment 7 - Past Performance Reference List.pdf

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Attached to
Fire Alarm Systems Replacement Federal contract opportunity
Solicitation number
FA301022R0009
Issued by
Department of the Air Force Air Education and Training Command

About this file

This document contains a past performance reference list template and information for a federal contract opportunity for fire alarm system replacement services. The opportunity is a solicitation from the Department of the Air Force seeking replacement of the fire alarm system at Dolan Hall on Keesler Air Force Base. The magnitude of the proposed construction is estimated between $500,000 to $1,000,000. This acquisition is set aside for Service-Disabled Veteran-Owned Small Businesses. An organized site visit will take place on March 15, 2022 at 10:00am CST. Attendees must have proper identification and follow all Keesler AFB health and safety protocols, including mask wearing and social distancing. Offerors should review Sections L and M of the solicitation for proposal preparation and evaluation factors.

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Text version

ATTACHMENT 7

FA301022R0009

MAHG 20-1109 Replace Fire Alarm System

1 | P a g e

COMPANY NAME:

CONTRACT NUMBER

(task order number(s) required if referencing an IDIQ contract)

Identify if CPAR is available

DESCRIPTION OF WORK PERFORMED

(performed as a prime/sub-contractor)

CONTRACT PERIOD OF

PERFORMANCE (POP)

CONTRACTING AGENCY,

POC/CUSTOMER NAME,

PHONE #, & EMAIL

CONTRACT/

TASK ORDER

VALUE

PERFORMED BY A PROPOSED

SUBCONTRACTOR, KEY

PERSONNEL, OR TEAMING

ARRANGEMENT? (if yes, complete page 2)

Use this space to provide additional information such as comments on any performance deemed unacceptable to customer, or not in accordance with the contract terms and conditions, etc. If additional information is provided for more than 1 contract, identify comments by contract number. Use multiple sheets if necessary.

ATTACHMENT 7

FA301022R0009

MAHG 20-1109 Replace Fire Alarm System

2 | P a g e

CONTRACT NUMBER

(task order number(s) required if referencing an IDIQ contract)

SUBCONTRACTOR,

TEAMING

ARRANGEMENT, OR

KEY PERSONNEL

DESCRIBE FUNCTION/TASK/3rd PARTY AFFECT ON PERFORMANCE (See Section L, 2(d) through 2(g) answer all questions pertaining to subcontractor, teaming arrangement, or key personnel; indicating affect they had and percentage completed on referenced contract listed on page 1, and affect they will have and percentage they will complete while performing this contract)

CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow1:
DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow1:
CONTRACT PERIOD OF PERFORMANCE POPRow1:
CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow1:
CONTRACT TASK ORDER VALUERow1:
PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row1:
CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow2:
DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow2:
CONTRACT PERIOD OF PERFORMANCE POPRow2:
CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow2:
CONTRACT TASK ORDER VALUERow2:
PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row2:
CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow3:
DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow3:
CONTRACT PERIOD OF PERFORMANCE POPRow3:
CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow3:
CONTRACT TASK ORDER VALUERow3:
PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row3:
CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow4:
DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow4:
CONTRACT PERIOD OF PERFORMANCE POPRow4:
CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow4:
CONTRACT TASK ORDER VALUERow4:
PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row4:
CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow5:
DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow5:
CONTRACT PERIOD OF PERFORMANCE POPRow5:
CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow5:
CONTRACT TASK ORDER VALUERow5:
PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row5:
Use this space to provide additional information such as comments on any performance deemed unacceptable to customer or not in accordance with the contract terms and conditions etc If additional information is provided for more than 1 contract identify comments by contract number Use multiple sheets if necessary:
CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow1:
SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow1:
DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow1:
CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow2:
SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow2:
DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow2:
CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow3:
SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow3:
DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow3:
CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow4:
SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow4:
DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow4:
CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow5:
SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow5:
DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow5:
2 P a ge:
Text1:

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