J-5 Past Performance Data Sheet.docx

DOCX document 16 KB Posted

Attached to
Roof Fall Protection Systems Services Federal contract opportunity
Solicitation number
HQ003426RE004
Issued by
DOD Washington Headquarters Service

About this file

This document is a Past Performance Data Sheet for a Roof Fall Protection System (RFPS) solicitation at the Pentagon, issued by the DOD Washington Headquarters Service. The solicitation (HQ003426RE004) requires vendors to complete a comprehensive form detailing prior contract experiences relevant to roof fall protection services. Key dates include a mandatory site visit on December 4, 2025, a question submission deadline of December 10, 2025, and a proposal submission deadline of January 7, 2026.

The past performance data sheet instructs offerors to provide detailed information about previous contracts, including contract type, dates, invoiced amounts, technical and contracting points of contact, and contract status. Vendors must describe the relevance of their past work to the Pentagon RFPS requirements, with an estimated percentage of relevancy. Attendance at the mandatory site visit is critical, as failure to do so will disqualify a bid. The form also requires documentation of any subcontracting plans and a summary description of contract work not exceeding two pages.

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Text version

Source Selection Information - See FAR 2.101 and 3.104

HQ003426RE004

Roof Fall Protection System (RFPS), Pentagon

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 was begun
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. Provide brief information describing the contract and the relevancy of the effort to be performed in accordance with the SOW and requirements of the solicitation. Provide an estimated % of relevancy of the referenced contract to the requirements set forth in this solicitation. Relevance shall address Roof Fall Protection System, Pentagon Relevance can be discussed in further detail on the attached summary description as set forth in block 14 below.

13. Did this contract require a Small Business Subcontracting Plan pursuant to FAR 52.219-9? Yes , No .

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.

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