Past Performance Reference Information Form Attachment B.docx
DOCX document 29 KB Posted
- Attached to
- Advanced Light Source Upgrade (ALS-U) Storage Ring “Hard Bend” (HBEND) Magnets Mechanical System.
- Solicitation number
- MG-05132026
- Issued by
-
Department of Energy
About this file
This is a Past Performance Reference Information Form template designed for offerors to document their relevant contract experience when responding to the Advanced Light Source Upgrade (ALS-U) Storage Ring "Hard Bend" (HBEND) Magnets Mechanical System solicitation (MG-05132026) issued by the Department of Energy's Lawrence Berkeley National Laboratory.
The form requires offerors to provide comprehensive details about up to three past performance reference contracts, including the offeror's Unique Entity Identifier (UEI) and name, the reference client (government agency or prime contractor), the entity awarded the contract with its UEI, contract number and title, client point of contact information (specifically requiring a Contracting Officer and optionally a Project Director or Contracting Officer's Representative), contract period of performance, contract type (e.g., Fixed-Price, Time and Materials, IDIQ, BPA), total contract value with approximate annual value, and value performed to date as of the RFP release date. The form also requires a complexity summary addressing the scope, work difficulty, similarity to the current solicitation scope, and any problems encountered with corresponding creative solutions and corrective actions implemented. Offerors may amend the form's format provided they maintain the exact information requirements and page limitation of three pages per reference contract. This template is part of the RFP package released May 13, 2026, with proposals due June 11, 2026, at 3:00 PM Pacific Time.
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Text version
Past Performance Reference Information Form (Completed Form limited to 3 pages per reference contract.)
1. Name and Unique Entity Identifier (UEI) as shown in SAM.gov of Offeror Submitting Proposal:
2. Name of Reference Contract Client (e.g., Government Agency or Prime Contractor):
3. Name and UEI of Entity Reference Contract Was Awarded To: (if the Entity was made up of member companies, provide the applicable member company’s name and UEI as well)
5. Reference Contract Number:
Reference Contract Title:
6. Reference Contract Client Point of Contact:
*The reference point of contact must include the Contracting Officer (or equivalent) and may also include the Project Director or Contracting Officer’s Representative (or equivalents).
Name:
Title:
Telephone:
Address:
Email:
7. Reference Contract Period of Performance:
8. Reference Contract Type (e.g., Fixed-Price (FP), Time and Materials (T&M), Cost Reimbursement, Indefinite Delivery Indefinite Quantity (IDIQ), Blanket Purchase Agreement (BPA), Basic Ordering Agreement (BOA), etc.):
9. Reference Contract Total Value and Approximate Average Annual Value
10. Reference Contract Value Performed to Date (Insert the final sum of all invoices, or the sum of all invoices to date, including agreed upon and disputed amounts, paid and awaiting payment; Date = RFP release date):
11. Complexity (Summary Scope, Difficulty of Work, Similarity to this Work Scope, problems encountered and creative solutions with respect to corrective actions taken.
Note: The Offeror may amend the format for this form, as long as the exact information, size, and page limitations are followed.
File details come from the government source that posted it. Updated .