Attachment_J-1_Past_Performance_Reference_Information.doc

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Regulated and Non-regulated Laundry Cleaning Services
Solicitation number
DE-SOL-0005530
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Attachment J-1 Past Performance Reference

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Tank Operations Contract

Section L

Solicitation No. DE-RP27-06RL14800

Solicitation No. DE-SOL-0005530 Attachment 5 Regulated and Non-Regulated Laundry Services

Attachment J-5 Offeror Past-Performance Reference Information Worksheet and Questionnaire

Reference Information Worksheet

(See instructions on the following page)

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

2. Complete address

3. Contract number or other reference and type
4. Date of contract
5. Date work commenced
6. Date work was completed
7. Contract Type and Contract Value
8. Final amount invoiced or amount invoiced to date
9a. Owner Technical point of contact (name, title, company/agency, address, telephone number, fax number, and e-mail address)
9b. Owner Contracting point of contact (name, title, company/agency, address, telephone number, fax number, and e-mail address)

10. Project/Contract Title

11. Description Requested information in Section L.16, Sub Criterion 5, Relevant Experience.

Attach additional sheet if necessary (one additional sheet maximum)

Instructions for Completing the Reference Information Worksheet Item 1.

Insert the complete name and address of the customer, including parent organization, if any. Do not use acronyms.

Item 2.

Insert the customer’s complete address, including both post office box and street addresses, if applicable.

Item 3.

Insert any contract number or other contract reference used by the customer and contract type.

Item 4.

Insert the date on which the contract came into existence.

Item 5.

Insert the date on which you started to perform the work.

Item 6.

Insert the date on which the customer agreed that the work was satisfactorily completed (including substantial completion), aside from any pending or on-going administrative actions, claims negotiations, or litigation.

Item 7.

Insert the contract type and contract value (separately listing fee if cost-type).

Item 8.

Insert the final sum of all invoices, or the sum of all invoices to date, including agreed upon and disputed amounts, paid and awaiting payment.

Item 9a.

Insert the name, title, company/agency, address, telephone number, facsimile number, and e‑mail address (if available) of the program or project manager, quality assurance representative, or other customer technical representative who is most familiar with the quality of your work under the contract.

Item 9b.

Insert the name, title, company/agency, address, telephone number, facsimile number, and e‑mail address (if available) of the contracting officer, purchasing agent, or other customer contracting or purchasing representative who is most familiar with your work under the contract.

Item 10. Insert the title of the project and/or contract.

Item 12.

As requested in L.16, Sub Criterion 5, Relevant Experience.

L-xlvi

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

File details come from the government source that posted it. Updated .