2.05.3.4 Attachment (17) - Past Performance Information Form Amend 3.pdf
PDF 347 KB Posted
- Attached to
- DPM Household Goods Packing, Moving, and Storage
- Solicitation number
- N0060426R0003
About this file
This document is a Past Performance Information Form template used within a Source Selection Plan to evaluate offeror qualifications for federal contract opportunities.
The form serves as a standardized template for collecting and documenting an offeror's relevant past performance on prior contracts. It requests the offeror's name, specific contract or order identifiers, and detailed customer information including name, location, and point of contact with verified telephone and email details. The form captures five years of historical financial data broken down by calendar year (2022-2026), along with average full-time equivalent (FTE) personnel levels and the complete period of performance for each referenced contract. Offerors must provide a detailed description of work performed sufficient to demonstrate relevance to the current solicitation, specifically addressing scope, magnitude, and complexity of the prior effort. The form also requires disclosure of any subcontractors utilized, including descriptions of the extent of their work and associated annual dollar values. This template is designated "For Official Use Only" and references FAR 2.101 and 3.104 as the regulatory basis for past performance evaluation in federal source selection processes.
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Text version
Source Selection Plan
SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104 For Official Use Only
Attachment (2)
PAST PERFORMANCE INFORMATION FORM
Form _____ of _____
Name of Offeror:
Contract Number, order number, or identifier:
Customer Name & Location: Customer Name:
Location:
Customer Point of Contact (Name & Title): Name:
Title:
Telephone Number (PLEASE VERIFY):
and e-mail address
Telephone number:
E-mail address:
Total dollar amount for this effort during the past five (5) years:
(For ordering vehicles, show both the annual maximum 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 scope of the solicitation:
Scope:
Magnitude:
Complexity:
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.
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