Attachment L-01 - Past Performance Reference List.pdf
PDF 148 KB Posted
- Attached to
- Repair NPS Dorms Elevators Federal contract opportunity
- Solicitation number
- FA301025R0024
About this file
Attachment L-01 is a Past Performance Reference List template for the Keesler Air Force Base NPS Dorms Elevator Repair project (Solicitation FA301025R0024). The document provides a structured form for contractors to document their previous contract experience, including contract numbers, descriptions of work performed, contract periods, contracting agencies, contract values, and details about subcontractors or key personnel involvement.
The solicitation is a Service-Disabled Veteran-Owned Small Business set-aside for elevator repair work at Keesler Air Force Base, Mississippi, with a project value between $1,000,000 and $5,000,000. A mandatory site visit is scheduled for 11 August 2025 at 2:00 PM CDT, with specific base access requirements. The government notes that funds are not currently available, reserving the right to cancel the solicitation, and emphasizes that no award will be made until funding is secured.
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Text version
ATTACHMENT L-01
FA301025R0024
MAHG 23-1016 – Repair NPS Dorms’ Elevators
1 | P a g e
COMPANY NAME:
CONTRACT NUMBER
(task order number(s) required if referencing an IDIQ contract)
Identify if CPAR is available
DESCRIPTION OF WORK PERFORMED
(performed as a prime/sub-contractor)
CONTRACT PERIOD OF
PERFORMANCE (POP)
CONTRACTING AGENCY,
POC/CUSTOMER NAME,
PHONE #, & EMAIL
CONTRACT/
TASK ORDER
VALUE
PERFORMED BY A PROPOSED
SUBCONTRACTOR, KEY
PERSONNEL, OR TEAMING
ARRANGEMENT? (if yes, complete page 2)
Use this space to provide additional information such as comments on any performance deemed unacceptable to customer, or not in accordance with the contract terms and conditions, etc. If additional information is provided for more than 1 contract, identify comments by contract number. Use multiple sheets if necessary.
ATTACHMENT 1
FA301025R0024
MAHG 23-1016 – Repair NPS Dorms’ Elevators
2 | P a g e
CONTRACT NUMBER
(task order number(s) required if referencing an IDIQ contract)
SUBCONTRACTOR,
TEAMING
ARRANGEMENT, OR
KEY PERSONNEL
DESCRIBE FUNCTION/TASK/3rd PARTY AFFECT ON PERFORMANCE (See Section L, 2(d) through 2(g) answer all questions pertaining to subcontractor, teaming arrangement, or key personnel; indicating affect they had and percentage completed on referenced contract listed on page 1, and affect they will have and percentage they will complete while performing this contract)
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow1: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow1: |
| CONTRACT PERIOD OF PERFORMANCE POPRow1: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow1: |
| CONTRACT TASK ORDER VALUERow1: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row1: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow2: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow2: |
| CONTRACT PERIOD OF PERFORMANCE POPRow2: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow2: |
| CONTRACT TASK ORDER VALUERow2: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row2: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow3: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow3: |
| CONTRACT PERIOD OF PERFORMANCE POPRow3: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow3: |
| CONTRACT TASK ORDER VALUERow3: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row3: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow4: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow4: |
| CONTRACT PERIOD OF PERFORMANCE POPRow4: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow4: |
| CONTRACT TASK ORDER VALUERow4: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row4: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow5: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow5: |
| CONTRACT PERIOD OF PERFORMANCE POPRow5: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow5: |
| CONTRACT TASK ORDER VALUERow5: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row5: |
| Use this space to provide additional information such as comments on any performance deemed unacceptable to customer or not in accordance with the contract terms and conditions etc If additional information is provided for more than 1 contract identify comments by contract number Use multiple sheets if necessary: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow1: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow1: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow1: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow2: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow2: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow2: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow3: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow3: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow3: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow4: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow4: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow4: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow5: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow5: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow5: |
| 2 P a ge: |
| Text2: |
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