J-13_-_Past_Performance_Reference_List.docx

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Interior Decking Support
Solicitation number
N50054-16-R-0007
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J-13 - Past Performance Reference List

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Text version

PAST PERFORMANCE REFERENCE LIST *

*To be completed by the offeror for each referenced contract to be submitted.

Form ___ of ___

Name of Offeror:

Referenced Contract Number, order number, or identifier:

Reference’s Firm/Agency Name & Location:

Reference’s Point of Contact (Name & Title):

Reference’s Telephone Number and E-mail address (PLEASE VERIFY):

Total dollar value for this effort broken into annual increments:

(For ordering vehicles, show both the annual estimated contract amount and the amount of orders actually performed) (Show the period of performance and dollars for that period) (*At least 1 year of performance must have been completed prior to the closing date of the solicitation):

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:

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

Source Selection Information – See FAR 2.101 and 3.104

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