B.08 Attachment 2 - Past Performance Reference.pdf
PDF 659 KB Posted
- Solicitation number
- W81K0426QA025
- Issued by
-
Department of the Army Medical Command
About this file
This is a Past Performance List of References template used to document a vendor's relevant contract history and experience for federal procurement evaluation purposes.
The template requires vendors to provide detailed information on up to three past performance references, including the contract number(s), a comprehensive description of work performed (specifying whether work was performed as prime contractor, subcontractor, affiliate, or joint venture partner, along with details such as number of FTE, position types, full-time versus session-based work, and percentage performed), the contract period of performance with specific start and end dates, contracting agency point of contact information with phone number and email, and complete contract values broken down into total contract amount, annual amount, and the period of performance for the annual amount. The template includes checkbox options to indicate whether each reference contract was performed by a subcontractor, affiliate, or joint venture entity. The form concludes with a signature line for vendor authorization and attestation of the information provided.
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Text version
Attachment 2 - List of References
PAST PERFORMANCE LIST OF REFERENCES
Vendor Name:
CONTRACT NUMBER
(include task order number(s) if applicable)
DESCRIPTION OF WORK PERFORMED
(performed as a prime/sub-contractor, details i.e.
number of FTE, position type, full-time or session-based, %performed, etc. )
CONTRACT
PERIOD OF
PERFORMANCE
(POP)
CONTRACTING AGENCY
POC/CUSTOMER NAME, PHONE #
CONTRACT VALUES
(include total contract amount, annual amount and POP for annual amount)
PERFORMED BY A
SUBCONTRACTOR
AFFILIATE, OR
JOINT VENTURE?
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
Start Date
End Date
Start Date
End Date
Start Date
End Date
Signature
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| Check Box25: Off |
| Check Box26: Off |
| Check Box27: Off |
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