Attachment_4_Past_Performance_Reference_List.docx

PAST PERFORMANCE LIST OF REFERENCES

Company Name:

CPARS

Y/N

CONTRACT NUMBER

DESCRIPTION OF WORK PERFORMED

(scope)

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: $

Total: $ Annual: $

Attachment 6-List of References Solicitation: FA3300-19-R-0004

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. dispatching, driving, EMT for that effort (provide information below)

1.

2.

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