6) Past Performance Reference Information Form Attachment B.docx
DOCX document 29 KB Posted
- Attached to
- Storage Ring (SR) Bipolar Power Converter (BPC)
- Solicitation number
- MG-02122026
- Issued by
-
Department of Energy
About this file
This file is a template for the Past Performance Reference Information Form that offerors must complete and submit with their proposals to the Lawrence Berkeley National Laboratory.
The form requires offerors to provide detailed information about up to three past performance reference contracts, including the name and UEI of the submitting offeror, the reference contract client (government agency or prime contractor), the entity that was awarded the contract, the contract number and title, contract type (e.g., fixed-price, time-and-materials, IDIQ), total contract value with approximate annual value, and value performed to date as of the RFP release date of February 12, 2026. Additionally, offerors must identify the reference contract's point of contact, specifically the Contracting Officer or equivalent, along with their title, telephone, address, and email. The form also requires a summary of contract complexity that addresses the scope of work, difficulty level, similarity to the current work scope, any problems encountered, and creative solutions or corrective actions implemented. Offerors are limited to three pages per reference contract and may modify the form's format provided all required information and page limitations are maintained. This form is integral to the evaluation of offeror qualifications for RFP No. MG-02122026 for the Storage Ring Bipolar Power Converter Procurement, with proposals due March 6, 2026.
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Text version
Past Performance Reference Information Form (Completed Form limited to 3 pages per reference contract.)
1. Name and UEI of Offeror Submitting Proposal:
2. Name of Reference Contract Client (e.g., Government Agency or Prime Contractor):
3. Name and UEI of Entity Reference Contract Was Awarded To: (if the Entity was made up of member companies, provide the applicable member company’s name and UEI as well)
5. Reference Contract Number:
Reference Contract Title:
6. Reference Contract Client Point of Contact:
*The reference point of contact must include the Contracting Officer (or equivalent) and may also include the Project Director or Contracting Officer’s Representative (or equivalents).
Name:
Title:
Telephone:
Address:
Email:
7. Reference Contract Period of Performance:
8. Reference Contract Type (e.g., FP, T&M, Cost Re, IDIQ, BPA/BOA, etc.):
9. Reference Contract Total Value and Approximate Average Annual Value
10. Reference Contract Value Performed to Date (Insert the final sum of all invoices, or the sum of all invoices to date, including agreed upon and disputed amounts, paid and awaiting payment; Date = RFP release date):
11. Complexity (Summary Scope, Difficulty of Work, Similarity to this Work Scope, problems encountered and creative solutions with respect to corrective actions taken.
Note: The Offeror may amend the format for this form, as long as the exact information, size, and page limitations are followed.
File details come from the government source that posted it. Updated .