Attachment L-01 - Past Performance Reference List.pdf

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Attached to
Repair Well #10 Federal contract opportunity
Solicitation number
FA301025R0026
Issued by
Department of the Air Force Air Education and Training Command

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This is a past performance reference form (Attachment L-01) for federal contract solicitation FA301025R0026, titled "MAHG 23-1035 – Repair Well #10 Casing, Drop Pipe, Pump, Instrumentation, and Controls." The form is a blank template requiring offerors to provide detailed information about their previous contract performance history, including company name, contract numbers, description of work performed (as prime or subcontractor), contract periods of performance, contracting agencies with points of contact, contract values, and whether work involved proposed subcontractors, key personnel, or teaming arrangements.

The two-page form includes sections for documenting Contract Performance Assessment Reporting System (CPAR) availability and requires additional details about subcontractors, teaming arrangements, or key personnel involvement on referenced contracts. Page two specifically requests information about the function, tasks, and third-party effects on performance, referencing Section L requirements 2(d) through 2(g) that address questions pertaining to subcontractor roles, teaming arrangements, or key personnel impact. The form includes space for additional comments regarding any performance deemed unacceptable to customers or not in accordance with contract terms and conditions, with instructions to identify comments by contract number if multiple contracts are referenced.

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Other files for this federal contract opportunity

Other files attached to Repair Well #10, newest first.
File Type Posted
MAHG23-1035 Repair Well 10_pre-bid site visit Sign-in Sheet.pdf PDF
Attachment 1 - MAHG231035 Repair Well 10 __ SOW.pdf PDF
Attachment 4 - MAHG231035 Repair Well 10 _ DWGs.pdf PDF
Attachment 5 - MAHG23-1035 Repair Well 10_BNJ__.pdf PDF
Attachment 9 - MAHG231035 Repair Well 10_Generator Scope Details Rev.2.pdf PDF
Attachment 6 - Wage Determination.pdf PDF
Attachment 8 - MAHG231035 Repair Well 10 _ AIR FORCE INSTRUCTION _ Grounding Systems.pdf PDF
Attachment 3 - MAHG231035 Repair Well 10 _ As Built Dwg.pdf PDF
Attachment L-02 - Past Performance Questionnaire.pdf PDF
Attachment 2 - MAHG231035 Repair Well 10 __ Specifications.pdf PDF
Attachment 7 - Submittal PROCEDURES.pdf PDF
Attachment 10 - MAHG231035 Repair Well 10 _ MSS.xlsx XLSX spreadsheet
Solicitation - FA301025R0026.pdf PDF
Show all 13

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ATTACHMENT L-01

FA301025R0026

MAHG 23-1035 – Repair Well #10 Casing, Drop Pipe, Pump, Instrumentation, and Controls

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 L-01

FA301025R0026

MAHG 23-1035 – Repair Well #10 Casing, Drop Pipe, Pump, Instrumentation, and Controls

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 g e:
Text1:

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