Attachment3_Reference Information Sheet.docx

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Maintenance and Repair of Multiple Separator Systems USAG Wiesbaden, Germany
Solicitation number
W912CM-21-Q-0005
Issued by

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This solicitation is seeking quotes for maintenance and repair services of multiple separator systems at U.S. Army Garrison Wiesbaden in Germany. The Regional Contracting Office Wiesbaden will competitively award a hybrid firm fixed price and time and materials contract for a one year base period and two one-year option periods for emptying, cleaning, inspection, repair, transportation, and residue disposal services for petroleum, oil and lubricant separators, mud traps, oil tanks, drains, rain water retention basins, water treatment plants, grease separators, potato starch separators, and septic tanks. The regular preventative maintenance will be firm fixed price while on-call and emergency maintenance will be time and materials. Quotes are due by the date specified in Federal Business Opportunities. Offerors must be registered in the System for Award Management database to be considered. The soliciting agency is the Department of the Army Materiel Command Army Contracting Command.

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REFERENCE INFORMATION SHEET

Please fill out one for each reference provided in your quote.

1. Complete name of commercial firm, Government agency or other organization awarding contract

2. Complete Address

3. Contract Number or other reference

4. Date of Contract

5. Date work started (within the last five (5) years through the issue date of subject solicitation)

6. Date work was or will be completed

7. Total Contract Amount (including all options) (IMPORTANT: Must be a minimum total value of €100,000.00)

8. Technical point of contact (name, title, address, telephone no. and email address)

9. Contracting or purchasing point of contact (name, title, address, telephone no. and email address)

10. Location of work (country, state or providence, county, city)

11. Provide a description of contract work performed (Describe scope and type of work. Use a continuation sheet, if necessary.)

12. Current status of contract (choose one):

Work continuing, on schedule Terminated for convenience

Work continuing, behind schedule Terminated for default Work complete, no further action pending or underway Other (explain)

Work completed, routine administrative action pending or underway Work completed, claims negotiations pending or underway

Work completed, litigation pending or underway

13. If applicable, attach an explanation of any performance problems or other conflicts with the customer. Describe any litigation, pending, on-going, or completed.

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