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 the Air Force solicitation FA301626R00130004 regarding Aerospace Medical Accession Standards. The form is a template designed for contractors to document their relevant past performance on federal contracts.
The form requires contractors to provide detailed information for up to three past performance references, including the contract number (with task order numbers if applicable), a description of work performed (specifying whether performed as prime or subcontractor, number of FTEs, position types, and percentage of work), FTE count, contract period of performance, contracting agency point of contact information with phone and email, and contract values broken down by total contract amount, annual amount, and the period for which the annual amount applies. Contractors must also indicate whether the work was performed as a proposed subcontractor, affiliate, or joint venture. Page 2 of the form provides space for contractors to detail any subcontractor, affiliate, or joint venture involvement, requiring disclosure of the percentage of work performed, cost splitting arrangements, and types of services provided (such as accounting or recruiting) for both proposed efforts and past performance examples.
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Text version
Attachment 3 – Past Performance List of References Aerospace Medical Accession Standards
Solicitation# FA301626R00130004
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# FA301626R00130004
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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