Attachment L-01 Past Performance Reference List.pdf

379 KB Posted

Attached to
MAHG25-1039 Replace Triangle Pool Liner
Solicitation number
FA301026Q0015
Issued by

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This is a contract experience form (Attachment L-01) designated for solicitation FA301026Q0015. The document serves as a template for contractors to document their past contract performance and relevant experience.

Page 1 requires contractors to provide company name and list relevant contract experience, including contract number (with task order numbers for IDIQ contracts), description of work performed as prime or subcontractor, contract period of performance, contracting agency with point of contact information and phone/email, contract or task order value, and indication 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, with instructions to reference contract numbers if multiple contracts are documented. Page 2 requires detailed information for any subcontractors, teaming arrangements, or key personnel referenced on page 1, specifically requesting description of functions, tasks, and third-party effects on performance, along with the percentage of work completed on the referenced contract and projected percentage to be completed under the prospective contract. The form explicitly instructs respondents to answer questions pertaining to sections L, 2(d) through 2(g) regarding how subcontractors and key personnel affected prior performance and how they will contribute to the current contract performance. Multiple sheets may be used if necessary to document additional contracts or personnel.

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Attachment L-01

FA301026Q0015

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.

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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