FTFA_13-1096_Past_Performance_Information.pdf

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Attached to
CTG Modular Facilities Federal contract opportunity
Solicitation number
FA282318R4014
Issued by
Department of the Air Force Materiel Command Test Center

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Past Performance Project Information

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Source Selection Information -- See FAR 2.101 and 3.104 Page 26 of 35

SSP Attachment 5

PAST PERFORMANCE PROJECT INFORMATION

Request for Proposal:

CTG Modular Facilities, Eglin AFB, FL 32542

Name of Offeror:

Point of Contact:

Telephone #:

E-Mail:

We are currently in the process of preparing our proposal for Solicitation Number FA2823-18-R-4014, to Request for Proposal: FA2823-18-R-4014 CTG Modular Facilities, Eglin AFB, FL 32542. As part of our proposal, we have offered as a reference on our performance for this type of work, under the previous/current contract listed below, with your company. 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 the work we performed for your contract that was same/similar to the below or say NONE:

i: Prior experience with modular buildings similar in size and scope to those described in the Statement of Work and how recently:

ii: Prior experience with construction of modular buildings similar in size and scope to those described in the Statement of Work and how recently:

iii: Prior experience with removal and proper disposal of modular buildings similar in size and scope to those described in the Statement of Work that comply with State & Federal requirement and how recently:

Source Selection Information -- See FAR 2.101 and 3.104 Page 27 of 35 iv: Prior experience with removal and replacement modular buildings similar in size and scope to those described in the Statement of Work and how well the progress met proposed and approved construction schedule:

3. Period of Performance (Base) Amount

Period of Performance (1st Option) Amount

Period of Performance (2nd Option) Amount

Period of Performance (3rd Option) Amount

Period of Performance (4th Option) Amount

TOTAL: $

4. Offeror performed as the Prime Offeror Sub-Contractor Key Personnel

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

6. Name of Person Completing Survey:

Base/Company: Date:

Title: Phone:

Email: Fax:

SSP Attachment 6

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