EXPERIENCE AND PAST PERFORMANCE Form - Commercial Items.pdf

PDF 80 KB Posted

Attached to
Maintenance & repair of furnaces
Solicitation number
19BE2025Q0004
Issued by

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The document is an Experience and Past Performance form for a commercial items solicitation, associated with Solicitation Number 19BE2025Q0004 issued by the Department of State US Embassy Brussels. The form is a template designed for potential offerors to document their previous contract work, with columns for capturing key details including customer name and address, telephone numbers of lead contract and technical personnel, contract number, a brief description of work and responsibilities, and any litigation history from the past five years. The form is currently blank, awaiting completion by the prospective contractor for the maintenance and repair of furnaces opportunity.

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Experience and Past Performance Offeror: Solicitation Number: 19BE2025Q0004

Section 3, Solicitation Provisions, ADDENDUM TO 52.212-1.

Customer's name and address

Telephone numbers of customer's lead contract and technical personnel

Contract number Brief description of the work, including responsibilities

Any litigation currently in process or occurring within last 5 years

Customers name and addressRow1:
Telephone numbers of customers lead contract and technical personnelRow1:
Contract numberRow1:
Brief description of the work including responsibilitiesRow1:
Any litigation currently in process or occurring within last 5 yearsRow1:
Customers name and addressRow2:
Telephone numbers of customers lead contract and technical personnelRow2:
Contract numberRow2:
Brief description of the work including responsibilitiesRow2:
Any litigation currently in process or occurring within last 5 yearsRow2:
Customers name and addressRow3:
Telephone numbers of customers lead contract and technical personnelRow3:
Contract numberRow3:
Brief description of the work including responsibilitiesRow3:
Any litigation currently in process or occurring within last 5 yearsRow3:
Customers name and addressRow4:
Telephone numbers of customers lead contract and technical personnelRow4:
Contract numberRow4:
Brief description of the work including responsibilitiesRow4:
Any litigation currently in process or occurring within last 5 yearsRow4:
Customers name and addressRow5:
Telephone numbers of customers lead contract and technical personnelRow5:
Contract numberRow5:
Brief description of the work including responsibilitiesRow5:
Any litigation currently in process or occurring within last 5 yearsRow5:
Text2:

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