Attachment 5 - Past Performance Data Sheet.docx

DOCX document 19 KB Posted

Attached to
Environmental Services Federal contract opportunity
Solicitation number
HQ003420R0003
Issued by
DOD Washington Headquarters Service

About this file

This document contains a past performance data sheet template for offerors to submit references on previous relevant contracts, along with a solicitation for environmental services. The solicitation seeks offers for environmental compliance, incident response and recovery planning, natural resource management, energy management, and outreach and event planning support services for the Department of Defense Washington Headquarters Service. Offerors are required to provide references using the past performance data sheet, including contract details such as numbers, dates, types, values and locations of prior work, as well as points of contact. References must describe the relevancy of past efforts to the solicitation requirements and include a summary of up to two pages. The solicitation does not specify pricing terms, set asides, or incumbent contractors.

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Text version

Attachment 5 Past Performance Data Sheet (Note: Offerors are not to change the spatial structure of this form, i.e. borders, block size, etc.)

1. Complete Name of Reference (Government agency, commercial firm, or other organization)

2. Complete Address of Reference

3. Contract Number or other control number

4. Date of contract

5. Date work started

6. Date work was completed

7. Contract type, initial contract price, estimated cost and fee, or target cost and profit or fee

8. Final amount invoiced or amount invoiced to date

9a. Reference/Technical point of contact (name, title, address, telephone no. and email address)

9b. Reference/Contracting point of contact (name, title, address, telephone no. and email address)

10. Location of work (country, state or province, county, city)

11. Current status of contract (choose one):

[ ] Ongoing [ ] Complete [ ] Terminated for Convenience [ ] Terminated for Default [ ] Other (explain)

12. COMMENTS / REMARKS:

(a) Provide brief information describing the contract and the relevancy of the effort to be performed in accordance with the PWS and requirements of the solicitation.

(b) Provide an estimated % of relevancy of the referenced contract to the requirements set forth in this solicitation.

(c) Relevance shall address Environmental Support Services, and can be discussed in further detail on the attached summary description as set forth in block 14 below.

13a. Did this contract require a Small Business Subcontracting Plan pursuant to FAR 52.219-9? Yes ____, No_____.

13b. If “Yes” to 13a, have you regularly submitted SF 294/295 reports on time?

13c. Attach a copy of your most recently submitted SF 294/295.

14. Provide a summary description of contract work, not to exceed two pages in length. Describe the nature and scope of work, its relevancy to this contract, and a description of any problems encountered and your corrective actions. Attach the explanation to this form.

File details come from the government source that posted it. Updated .