Attachment C PPQ ICEX 26.30Nov.docx

DOCX document 26 KB Posted

Attached to
Undersea Warfighting Development Center Detachment Arctic Submarine Laboratory (ICEX 2026 Operation Ice Camp Air Charter Services)
Solicitation number
HTC71126RCC01
Issued by

About this file

This document is a Past Performance Questionnaire for a federal contract opportunity with the U.S. Navy's Undersea Warfighting Development Center. The solicitation (HTC71126RCC01) seeks air charter services to support Arctic operations for ICEX 2026, specifically requesting four distinct aircraft types: two ski-wheel equipped aircraft for pioneering landings and general purposes, one rear-loading aircraft for personnel and cargo, and two rotary wing aircraft for personnel and cargo transport. Offerors are required to provide 2-3 past performance references from contracts completed within the last three years, detailing contract name, contracting activity, point of contact, contract type, value, performance period, and a description of work scope, magnitude, and complexity as defined in the solicitation's requirements.

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Past Performance Questionnaire Company Name of Offeror:

Offerors are required to provide a list of contracts, i.e. past performance references, similar in scope, magnitude, and complexity, currently being performed or completed within the last three (3) years from the date of solicitation issuance. The list shall be limited to at least two (2), but no more than three (3) contracts.

1. Contract Name: ______________________________________________________________________ Name of Contracting Activity/Company: __________________________________________________ Address of Contracting Activity/Company: ________________________________________________ Government Contracting Officer/Commercial Point of Contact: ________________________________

Verified Email Address: _________________________________________________________
Phone Number: ________________________________________________________________

Contract Type (FFP, IDIQ, etc.): _________________________________________________________ Annual / Total Contract Value, Including Options: ___________________________________________ Period of Performance: _________________________________________________________________ Description of scope, magnitude and complexity of work performed, as defined in RFP FAR 52.212-2(d)(3)(ii):

2. Contract Name: ______________________________________________________________________ Name of Contracting Activity/Company: __________________________________________________ Address of Contracting Activity/Company: ________________________________________________ Government Contracting Officer/Commercial Point of Contact: ________________________________

Verified Email Address: _________________________________________________________
Phone Number: ________________________________________________________________

Contract Type (FFP, IDIQ, etc.): _________________________________________________________ Annual / Total Contract Value, Including Options: ___________________________________________ Period of Performance: _________________________________________________________________ Description of scope, magnitude and complexity of work performed, as defined in RFP FAR 52.212-2(d)(3)(ii):

Source Selection Information – See FAR 2.101 and 3.104 (When filled-in, this Document becomes CUI//SP-SSEL) HTC71126RCC01 Attachment C

Source Selection Information – See FAR 2.101 and 3.104 (When filled-in, this Document becomes CUI//SP-SSEL) HTC71126RCC01 Attachment C

3. Contract Name: ______________________________________________________________________ Name of Contracting Activity/Company: __________________________________________________ Address of Contracting Activity/Company: ________________________________________________ Government Contracting Officer/Commercial Point of Contact: ________________________________

Verified Email Address: _________________________________________________________
Phone Number: ________________________________________________________________

Contract Type (FFP, IDIQ, etc.): _________________________________________________________ Annual / Total Contract Value, Including Options: ___________________________________________ Period of Performance: _________________________________________________________________ Description of scope, magnitude and complexity of work performed, as defined in RFP FAR 52.212-2(d)(3)(ii):

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