Past Performance Information Form.docx

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Attached to
N0018926RB011 - Drug Demand Reduction Program, Fentanyl/Norfentanyl Immunoassay Reagent Kits
Solicitation number
N0018926RB011
Issued by

About this file

This is a Past Performance Information Form template designed to collect contractor experience data for federal solicitations. The form requests vendors to document their relevant past performance on similar projects, including project descriptions, customer references, contract values, performance periods, and qualifications of key personnel. Contractors are required to provide specific examples demonstrating their capability to execute comparable work, with details on project scope, technical achievements, and customer satisfaction metrics. The form typically includes sections for listing multiple past performance projects, contact information for government references who can verify performance claims, and documentation of the contractor's ability to meet quality, schedule, and cost requirements.

This particular form is associated with Naval Supply Systems Command's Drug Demand Reduction Program solicitation (N0018926RB011) for FDA-approved and quality management-documented Fentanyl/Norfentanyl Immunoassay Reagent Kits compatible with Beckman Coulter AU5800 series systems. Prospective vendors responding to this requirement must submit completed Past Performance Information Forms demonstrating prior experience with similar immunoassay reagent products, clinical laboratory testing capabilities, FDA compliance and quality assurance protocols, and the ability to sustain production of approximately 500,000 tests monthly over a five-year ordering period. Relevant past performance examples should demonstrate experience with reagent kit development, regulatory approval processes, large-scale manufacturing capacity, and successful delivery to government or healthcare entities.

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Text version

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 Email Address (PLEASE VERIFY):

Total dollar amount (receipts) for this effort during the past five (5) years:

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

(Show 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 solicitation:

Quality, delivery, or cost problem(s); corrective action(s) taken; and effectiveness of the corrective action(s):

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:

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