Attachment L-01 Past Performance Reference List.pdf
PDF 323 KB Posted
- Attached to
- MAHG23-1034 Repair Well 9
- Solicitation number
- FA301026R0012
About this file
This is a contract experience form (Attachment L-01, document FA301026R0012) used to document a contractor's past performance on federal contracts.
The form serves as a template for contractors to submit evidence of relevant contract experience when responding to federal solicitations. Page 1 requires contractors to list contract details including company name, contract number (with task order numbers for IDIQ contracts), description of work performed as prime or subcontractor, contract period of performance, contracting agency and point of contact information, contract/task order value, and identification of whether work was performed by proposed subcontractors, key personnel, or teaming arrangements. The form includes space for additional comments regarding performance issues or deviations from contract terms and conditions. Page 2 requires detailed information for any subcontractors, teaming arrangements, or key personnel involved, specifically requesting a description of their functions, tasks, and impact on performance, including the percentage of work they completed on the referenced contract and the percentage they will complete on the proposed contract. The form allows for multiple sheets if the contractor has more than one contract to document.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment L-01
FA301026R0012
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.
FA301026R0012
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: |
File details come from the government source that posted it. Updated .