ATTCH 5 - Past Performance Information Form.pdf

Attachment 5: H92240-20-R-0002

Attachment 5 PAST PERFORMANCE INFORMATION FORM Form ___ of ___

Name of Offeror:

Contract Number, order number, or identifier:

Customer Name & Location:

Customer Point of Contact (Name & Title):

Telephone Number and e-mail address (PLEASE

VERIFY):

Total dollar value for this effort broken into annual increments:

(For ordering vehicles, show both the annual estimated contract amount and the amount of orders actually performed)

(Show either fiscal year or calendar year and dollars):

Number of personnel (FTE) performing per year (avg.):

Period of Performance: From:

To:

Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:

Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts: