Past Performance Eval.pdf
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- 2121301PCV370
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U.S. COAST GUARD
BASE CLEVELAND, PROCUREMENT & CONTRACTING BRANCH
CONTRACTOR PAST PERFOMANCE REFERENCE FORM
The information contained herein is considered “Source Selection Information” in accordance with FAR 3.104.
Prospective Contractor please provide at least 03 past performance references with proposal. Please fill out the below information for the same/similar type contracts. Please submit this form at the time of bid submission.
I. CONTRACT IDENTIFICATION: (Fill-in)
COMPANY NAME:
CONTRACT NUMBER:
CONTRACT TYPE:
PERIOD OF PERFORMANCE:
TYPE OF SERVICE PERFORMED:
POC EMAIL:
POC TELEPHONE:
COMPANY NAME:
CONTRACT NUMBER:
CONTRACT TYPE:
PERIOD OF PERFORMANCE:
TYPE OF SERVICE PERFORMED:
POC EMAIL:
POC TELEPHONE:
COMPANY NAME:
CONTRACT NUMBER:
CONTRACT TYPE:
PERIOD OF PERFORMANCE:
TYPE OF SERVICE PERFORMED:
POC EMAIL:
POC TELEPHONE:
COMPANY NAME:
CONTRACT NUMBER:
CONTRACT TYPE:
PERIOD OF PERFORMANCE:
TYPE OF SERVICE PERFORMED:
POC EMAIL:
POC TELEPHONE:
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