Attachment II - Past Performance Information Form.docx

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Attached to
MARRIAGE ENRICHMENT RETREAT (Lake Geneva, Wisconsin)
Solicitation number
N0018926QW174
Issued by

About this file

This is a Past Performance Information Form template used to document and evaluate contractor experience on relevant prior contracts or efforts.

The form requires offerors to submit information on three of their most relevant past performance examples, with each entry detailing the customer name and location, primary point of contact information, total contract dollar value broken into annual increments, number of personnel (FTE) performing annually, period of performance dates, and a detailed description of work performed demonstrating relevance to the solicitation scope. For helpdesk work specifically, offerors must indicate the user population supported, number of trouble tickets processed, and average turnaround time. If proposed subcontractors' past performance is submitted as a reference, the form requires clear identification of the percentage and type of work to be performed by that subcontractor on the solicitation requirement and specific aspects of the work they will perform. Similarly, if a prime offeror or subcontractor/partner served as a subcontractor on a past performance example, they must clearly detail the work performed and the dollar value of only that subcontracted work. The form specifies that at least one year of performance must have been completed prior to the solicitation issuance date. This template is being used in connection with a Department of the Navy Naval Supply Systems Command solicitation (N0018926QW174) for a Marriage Enrichment Retreat program supporting military married couples.

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Text version

PAST PERFORMANCE INFORMATION FORM

Form ___ of ___

Name of Offeror:

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) (*At least 1 year of performance must have been completed prior to the issuance date of the solicitation):

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

Period of Performance:
From:

To:

Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation (If Helpdesk work was performed, indicate population of users supported, number of trouble tickets processed, and average turnaround time)

Scope:

Magnitude:

NOTE 1: If a proposed subcontractor’s past performance is provided as part of the three (3) of its most relevant contracts or efforts, the percentage and type of work to be done by the subcontractor on the solicitation requirement must be stated. The offeror’s submittal shall also detail clearly the aspects of the work in the solicitation that the subcontractor is proposed to perform.

NOTE 2: If the prime offeror or intended subcontractor/partner submits a past performance example in which it served as a subcontractor, the prime/sub/partner shall detail clearly the work that it performed and the magnitude (dollar value) of that subcontracted work only.

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