Addenda_3-_Past_Performance_Information_Sheet.doc

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Attached to
NSM VESSEL REPAIR
Solicitation number
H92240-19-T-0060
Issued by

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Addenda 3 - Past Performance Information Sheet

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Past Performance Information Sheet

TO BE COMPLETED BY THE OFFEROR AND SUBMITTED WITH VOLUME 4

OFFEROR’S COMPANY NAME

OFFEROR’S POINT OF CONTACT FOR PAST PERFORMANCE

CUSTOMER’S COMPANY NAME

CONTRACT NUMBER

CONTRACT TYPE (FIRM FIXED PRICE, COST REIMBURSABLE, ETC.)

PLACE OF PERFORMANCE

CONTRACT START DATE

CONTRACT END DATE

CONTRACT DOLLAR VALUE (per year and total values)

OFFEROR’S ROLE (Prime/Subcontractor)

VALUE OF WORK SELF-PERFORMED

CONTRACTING OFFICER NAME, EMAIL

PROVIDE TWO POINTS OF CONTACT THAT CAN COMMENT ON THE QUALITY OF SERVICE

CUSTOMER POINT OF CONTACT #1

NAME

TITLE

COMM #
FAX #
DSN #

E-MAIL ADDRESS

CUSTOMER POINT OF CONTACT #2

NAME

TITLE

COMM #
FAX #
DSN #

E-MAIL ADDRESS

DESCRIPTION OF WORK PERFORMED

[Describe how the experience is relevant to this effort concerning scope (e.g. Recent contracts that have been performed during the past three (3) years from the date of issuance of this solicitation, and have at least six (6) months performance within the last three (3) years from solicitation issuance. Relevant contracts defined as annual tasking valued at or above $300,000 per year for taskings similar in nature to those envisioned by this request for quote)

COMMENTS / REMARKS

[Include information on problems encountered during performance of this contract, if any, and corrective actions taken]

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