Past Performance Form.docx
DOCX document 21 KB Posted
- Attached to
- Janitorial Services Procurement
- Solicitation number
- 20149687
About this file
This is a past performance reference form template associated with a janitorial services procurement (PR 20149687) for DHS Customs and Border Protection. The form is designed to collect information about previous contracts, with space for three separate past performance references.
The form requests details including agency name, point of contact information, period of service, contract type, contract value, and project description for each reference. It includes a yes/no question about whether the reference would award another contract to the company, along with a performance rating scale (Excellent, Good, Acceptable, Fair, Poor) and space for explanatory comments. Each reference form concludes with fields for the evaluator's printed name, title, signature, and date.
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| SOW25_20250114192219.262_X_Redacted.pdf | ||
| RFI Responses.docx | DOCX document | |
| WD 2015 - 4867 v29.pdf | ||
| Price Quote Template.doc | DOC document | |
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Text version
PR 20149687 - Janitorial Services Procurement
Attachment 1- Past Performance Form
Agency Name:
POC (Contract representative, Project/Program Manager, or Technical representative) Name and Title:
Phone:
Email:
Period of Service
From:
To:
Contract Type (Firm Fixed Price, Time & Materials; Cost Reimbursable, etc., Cost plus award fee, etc.):
Contract Value: $
Brief project description and title:
Would you award a contract to this company again given a choice? Yes or No Circle their performance rating:
Excellent Good Acceptable Fair Poor
Explain:
| Print Name | Title |
| Signature | Date |
Attachment 1- Past Performance Form
Agency Name:
POC (Contract representative, Project/Program Manager, or Technical representative) Name and Title:
Phone:
Period of Service
Contract Type (Firm Fixed Price, Time & Materials; Cost Reimbursable, etc., Cost plus award fee, etc.):
Contract Value: $
Brief project description and title:
Would you award a contract to this company again given a choice? Yes or No Circle their performance rating:
Excellent Good Acceptable Fair Poor
Explain:
| Print Name | Title |
| Signature | Date |
Attachment 1- Past Performance Form
Agency Name:
POC (Contract representative, Project/Program Manager, or Technical representative) Name and Title:
Phone:
Period of Service
Contract Type (Firm Fixed Price, Time & Materials; Cost Reimbursable, etc., Cost plus award fee, etc.):
Contract Value: $
Brief project description and title:
Would you award a contract to this company again given a choice? Yes or No Circle their performance rating:
Excellent Good Acceptable Fair Poor
Explain:
| Print Name | Title |
| Signature | Date |
File details come from the government source that posted it. Updated .