Attachment W - Past Performance Information.pdf
PDF 198 KB Posted
- Solicitation number
- FA483026R0002
About this file
This is a Past Performance Information Form template for the Contractor Operated Civil Engineer Supply Store (COCESS) solicitation FA483025R0012, dated January 2026. The form is designated as source selection sensitive information per FAR 2.101 and FAR 3.104.
The form requires offerors to provide comprehensive past performance data including company identification (name, CAGE code, UEI number), program title, and detailed contract specifics such as contracting agency, contract number, contract type (firm fixed price, task order/purchase order, or cost reimbursable), period of performance, and total contract dollar value. Offerors must indicate whether contracts have been entered into the Contractor Performance Assessment Reporting System (CPARS) and identify the performance location environment (Air Force or Air Force Reserve Base, DoD installation, federal/state/county/city facility, or other). The form requires a description of services provided as prime or subcontractor with emphasis on relevance to the Mess Attendant Support Service acquisition, along with technician experience years. Primary customer point of contact information must be provided, including the Program Manager and Contracting Officer (or commercial contract equivalents) with current availability confirmation, including name, office, telephone, fax, and email address.
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Text version
Attachment W Source Selection Sensitive Information IAW FAR 2.101 and FAR 3.104 Solicitation: FA483025R0012 Title: CONTRACTOR OPERATED CIVIL ENGINEER SUPPLY STORE (COCESS)
PAST PERFORMANCE INFORMATION FORM
January 2026
A. Offeror Information:
Name (Company/Division):
CAGE Code: UEI Number:
If Other than the Prime Offeror, Identify Prime Offeror:
B. Program Title:
C. Contract Specifics:
Contracting Agency or Customer:
Contract Number:
Contract Type:
Firm Fixed Price (FFP) Contract FFP Task Order or Purchase Order Cost Reimbursable or Other Contractual Arrangement
Period of Performance (include options):
Contract Dollar Value:
Has the contract been entered into the Contractor Performance Assessment Reporting System (CPARS)?
Yes or No
Contract Environment:
Performance on an Air Force or Air Force Reserve Base Performance on a DoD Installation Performance at a Federal, State, County or City facility Other Performance Location.
D. Description of Contract as Prime or Subcontractor Indicate the type of services provided and highlight portions considered most relevant to the Mess Attendant Support Service acquisition.
E. Technician Experience Years
F. Primary Customer Points of Contact:
Attachment W Source Selection Sensitive Information IAW FAR 2.101 and FAR 3.104 Solicitation: FA483025R0012 Title: CONTRACTOR OPERATED CIVIL ENGINEER SUPPLY STORE (COCESS)
For Government contracts, provide the following information for the Program Manager and Contracting Officer (for commercial contracts, provide equivalent to Government positions listed). Ensure the individuals are currently available to provide past performance information if requested by the Government.
Name:
Office:
Telephone Number: FAX Number:
Email Address:
| UEI Number: |
| If Other than the Prime Offeror Identify Prime Offeror: |
| undefined: |
| undefined_2: |
| B Program Title: |
| Contracting Agency or Customer: |
| Contract Number: |
| Firm Fixed Price FFP Contract: |
| FFP Task Order or Purchase Order: |
| Cost Reimbursable or Other Contractual Arrangement: |
| Period of Performance include options: |
| Has the contract been entered into the Contractor Performance Assessment Reporting System CPARS: |
| Performance on an Air Force or Air Force Reserve Base: |
| Performance on a DoD Installation: |
| Performance at a Federal State County or City facility: |
| Other Performance Location: |
| Prime or: |
| Subcontractor: |
| Years: |
| Name: |
| Office: |
| Telephone Number: |
| FAX Number: |
| Email Address: |
| Check Box1: Off |
| Check Box2: Off |
| Text3: |
| Text4: |
File details come from the government source that posted it. Updated .