Attachment E - Past Performance Questionaire.pdf

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Attached to
Z1LZ--663A4-26-001 CON NRM: AMLK Parking Lot Striping
Solicitation number
36C26026R0050
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About this file

This is an Offeror Past Performance Report template used to document and evaluate an offeror's relevant prior contract experience for federal procurement evaluations.

The form requires offerors to provide comprehensive details about previously completed contracts, including offeror and project location information, customer point of contact with verifiable contact details (phone and email), contract performance metrics (percentage complete, period of performance, award date, completion dates, and total contract value), and a brief description of work performed. Offerors must indicate whether they served as prime contractor or in another capacity and describe their specific roles and responsibilities on the referenced contract. The template includes mandatory fields for relevancy narratives that address how prior work aligns in scope and complexity with the project being bid, and an optional section for identifying problems encountered and corrective actions taken. Additional required information includes disclosure of subcontract involvement with supporting commentary, identification of key personnel involved in the referenced work (manager/principal investigator and key personnel), and comments on their performance. The form emphasizes that all references must be reachable at provided contact information, with unreachable references resulting in disqualification of the client reference. This three-page attachment is used as a standardized evaluation tool to assess offeror capability and past performance on relevant federal contracts.

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ATTACHMENT E

OFFEROR PAST PERFORMANCE REPORT

Attachment 4 - Rev. 2.8.2024 Page 1 of 3

*Indicates required information

*Name of Offeror:

*Street Address:

*City: *State:

*Zip Code: *Country:

*Project Name:

Street Address:

*City: *State:

Zip Code: *Country:

*Customer Point of Contact (POC): *POC Phone: *POC Email:

The offeror shall ensure that the person named as reference can be contacted with the contact information specified. Unreachable references will result in disqualification of the client reference.

*Contract Percent Complete: *Period of Performance:

From: ___________ To: _____________

*Contract Award Date: Projected Completion Date:

Actual Completion Date:

*Total Contract Value:

*Contract Description:

(Brief description of work performed)

*Roles and Responsibilities: PRIME CONTRACTOR: ☐

ATTACHMENT 4

Attachment 4 - Rev. 2.8.2024 Page 2 of 3

*Relevancy:

(A brief narrative that addresses how the work performed is similar in scope and complexity to the project being bid)

(Optional) Problems:

(Problems encountered on the identified contract and offeror’s corrective actions)

Additional Information:

Subcontracts:

Were subcontracts involved? __Yes __No (Check one)

Comment on subcontracts:

ATTACHMENT 4

Attachment 4 - Rev. 2.8.2024 Page 3 of 3

Offeror Key Personnel (specific to this referenced job): (add additional lines as needed)

Offeror Manager/Principal Investigator (name):

Comment on Manager/Principal Investigator:

Offeror Key Person (name):

Comment on Key Person:

Offeror Key Person (name):

Comment on Key Person:

File details come from the government source that posted it. Updated .