PAST_PERFORMANCE_REFERENCES_Attachment_3.docx

ATTACHMENT 3

PAST PERFORMANCE REFERENCES

Request for Proposal: FA2823-15-R-4007 COCESS, Eglin AFB, FL 32542

Name of Contractor:

Point of Contact:

Telephone #:

E-Mail:

We are currently in the process of preparing our proposal for Solicitation Number FA2823-15-R-4007, COCESS at Eglin AFB, Florida. As part of our proposal, we have offered your company as a reference on our performance for this type of work, under the previous/current contract listed below. Your input on our performance is therefore requested. Please complete this survey and provide a sufficient description so this contract may be evaluated whether it is the same or similar in scope to this solicitation. Please return to the Point of Contact listed above. Thank you. Survey is due no later than

1. Contract or Identifying Number:

2. Please provide a brief description of scope of work performed for your contract:

3. Hazardous Material- Please provide a brief description of scope of work performed for your contract that involved any purchasing, receiving, warehousing, issuing, inventory, tracking, delivery and/or disposal of hazardous material:

TOTAL: $

5. Contractor performed as the ____ Prime Contractor ____ Sub-Contractor

6. Type of Contract ____ Firm-Fixed-Price ____ Cost Reimbursement ____ Other (please specify)

7. Name of Person Completing Survey:

Base/Company: Date:

Title: Phone:

Email: Fax: