Attachment II - Past Performance Information Form.pdf

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Attached to
NOAA Ship Bell M. Shimada Drydock Repairs FY 2023
Solicitation number
1305M222QNMAN0074
Issued by

About this file

This document contains an Attachment II Past Performance Information Form template to be completed by offerors responding to Solicitation 1305M222QNMAN0074 for drydock repairs to the NOAA Ship Bell M. Shimada in fiscal year 2023. The form requests details on up to three relevant past performance references, including contract number, customer name and location, point of contact, period of performance, dollars value for that period broken into annual increments, average number of personnel performing per year, description of work performed and its relevance to the solicitation scope and magnitude, and use and role of any subcontractors. The solicitation is from the Department of Commerce National Oceanic and Atmospheric Administration for ship repair services. Offerors must submit a completed Past Performance Information Form with their response.

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ATTACHMENT II- PAST PERFORMANCE INFORMATION FORM

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)):

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:

Attachment II

1305M222QNMAN0074

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