PAST PERFORMANCE INFORMATION FORM.docx

PAST PERFORMANCE INFORMATION FORM

Form ___ of ___ Name of Offeror:

Contract Number, order number, or identifier:

Customer Name & Location:

Customer Point of Contact (Name & Title):

Customer Telephone Number and e-mail address (PLEASE VERIFY):

Total dollar value for this effort broken into annual increments: (Review Instruction to Offerors prior to completing) Period of Performance: From: To: (*At least 1 year of performance within the 5 year period must have been completed prior to the closing date of the solicitation):

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

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

Scope:

Magnitude:

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: