Attachment_4_Past_Performance_Form.docx
DOCX document 16 KB Posted
- Attached to
- Electric Monorail Hoist Federal contract opportunity
- Solicitation number
- NNS16574041Q
About this file
Attachment 4 - Past Performance Form
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment_0002_signed.pdf | ||
| Amendment_0001.pdf | ||
| NNS16574041Q_-_Site_Visit.pdf | ||
| Attachment_1_Statement_of_Work_(SOW).pdf | ||
| SOW_Appendix_B_SWI-8834-0001_Rev_5-3.pdf | ||
| SOW_Appendix_E_SCWI-8715-0008.pdf | ||
| NNS16574041Q_-_Request_For_Quote_(RFQ).pdf | ||
| Attachment_5_Price_Schedule.xlsx | XLSX spreadsheet | |
| SOW_Appendix_A_NASA_STD_8719.9A.pdf | ||
| Attachment_6_Wage_Determination_2005-2301_Rev_17.pdf | ||
| SOW_Appendix_D_200GD-GM04.pdf | ||
| SOW_Appendix_C.1_Thru_C.4_Specs_for_20-Ton_Hoist.pdf |
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Text version
NNS16574041Q – Electric Monorail Hoist Attachment 4
PAST PERFORMANCE FORM
This form contains Source Selection Information when completed (See FAR 2.101 and 3.104)
NAME OF CONTRACTOR:____________________________________________________________
[ ] Prime [ ] Team Member [ ] Other (Describe)
1. CUSTOMER/AGENCY NAME: ___________________________________________________
ADDRESS:_________________________________________________
TELEPHONE:_______________________________________________
2. CONTRACT NUMBER:_____________________________________
3. CONTRACT TYPE:________________________________________
4. CONTRACT AWARD AMOUNT: $_________________________________
5. FINAL PRICE OF CONTRACT: $________________________________________
6. VARIANCES: Explain variances from original contract value for the contract(s)
7. ORIGINAL AND MODIFIED PERIOD OF PERFORMANCE:
From:__________________________________ To:____________________________________
8. COGNIZANT CONTRACTING OFFICER: (If commercial, customer’s business manager):
NAME: _________________________________ EMAIL:__________________________________
ADDRESS: ________________________________________________________
TELEPHONE:_____________________________ FAX:____________________________________
9. CONTRACTING OFFICER’S TECHNICAL REPRESENTATIVE (If commercial, customer’s technical manager):
NAME: _________________________________ EMAIL:__________________________________
ADDRESS: _________________________________________________________
TELEPHONE:_____________________________ FAX:____________________________________
10. CONTRACT STATUS (if current, show percent complete; if terminated, explain why; if complete, so state)
11. DESCRIPTION OF THE WORK PERFORMED (use additional page as necessary): ___________________________________________________________________________
12. Subcontracting plan performance, and other small business achievements. ___________________________________________________________________________
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