Attachment C- Past Performance Information Form.pdf

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Attached to
OMAO/Occupational Health Support Services
Solicitation number
1305M224Q0073
Issued by

About this file

This document is a Past Performance Information Form, which is commonly used to provide information about a vendor's prior work on relevant federal contracts. The form includes details such as the contract number, customer name and location, point of contact information, the period of performance, dollar value, number of personnel, and a description of the work performed to demonstrate relevance to the current solicitation. The form indicates the vendor's past performance was obtained through the Contractor Performance Assessment Reporting System (CPARS) or a past performance questionnaire. The document also references Solicitation 1305M224Q0073 for OMAO/Occupational Health Support Services, which is a federal contract opportunity issued by the Department of Commerce's National Oceanic and Atmospheric Administration. The solicitation and its attachments provide the full details on the required products or services.

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ATTACHMENT C- PAST PERFORMANCE INFORMATION FORM

PAST PERFORMANCE INFORMATION FORM Form ___ of ___

Name of Vendor:

Contract Number, order number, or identifier:

Customer Name & Location:

Customer Point of Contact (Name & Title):

Telephone Number and e-mail address

(PLEASE VERIFY):

Total dollar value for this effort broken into annual increments:

(For ordering vehicles, show both the annual estimated contract amount and the amount of orders actually performed)

(Show the period of performance and dollars for that period)):

Number of personnel (FTE) performing per year (avg.):

Period of Performance: From:

To:

Method of Obtaining Past Performance CPARS Past Performance Questionnaire Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:

Scope:

Magnitude:

Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:

SOLICITATION 1305M224Q0073

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