3. Past Performance List of References.pdf
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- Solicitation number
- FA301626R00130002
About this file
This is a Past Performance List of References form for Solicitation FA301626R00130003 related to Aerospace Medical Accession Standards. The template is designed for contractors to document their relevant past performance on similar contracts to demonstrate capability and experience.
The form requires contractors to list up to three past performance references with the following information: company name, contract number (including task order numbers if applicable), CPARS registration status (yes/no), detailed description of work performed including full-time equivalent (FTE) staffing levels, position types, and percentage of work completed, contract period of performance, contracting agency point of contact with phone and email, and contract values broken down by total contract amount, annual amount, and period for which the annual amount applies. Additionally, contractors must indicate whether the work was performed as a prime contractor, subcontractor, affiliate, or joint venture partner. Page 2 of the form provides space for contractors to detail the specific functions, tasks, and third-party impacts of any subcontractors, affiliates, or joint ventures involved in the referenced contracts or proposed for the current effort, including percentage of work allocation and type of services provided.
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Attachment 3 – Past Performance List of References Aerospace Medical Accession Standards
Solicitation# FA301626R00130003
PAST PERFORMANCE LIST OF REFERENCES
Company Name:
CPARS
Y/N
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. )
FTE
CONTRACT
PERIOD OF
PERFORMANCE
(POP)
CONTRACTING AGENCY POC/CUSTOMER
NAME, PHONE # & EMAIL
CONTRACT VALUES
(include total contract amount, annual amount and POP for annual amount)
PERFORMED AS A PROPOSED
SUBCONTRACTOR,
AFFILIATE, OR
JOINT VENTURE?
(If yes, please complete Page 2)
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
Attachment 3 – Past Performance List of References Aerospace Medical Accession Standards
Solicitation# FA301626R00130002
CONTRACT NUMBER
(include task order number(s) if applicable)
SUBCONTRACTOR,
AFFILIATE, OR
JOINT VENTURE
DESCRIBE FUNCTION/TASK/3RD PARTY AFFECT ON PERFORMANCE
1. If proposing to use a Subcontractor, Affiliate, or Joint Venture for this effort, include percentage of work, splitting of cost, type of services i.e. accounting, recruiting, etc they will perform for this effort (provide information below)
2. If contractor proposing on this effort provided past performance they performed as a Subcontractor, Affiliate, or Joint Venture, include percentage of work, splitting of cost, type of services performed, i.e. accounting, recruiting, etc for that effort (provide information below)
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