Past Performance Reference Information Form Attachment B.docx

DOCX document 29 KB Posted

Attached to
Storage Ring (SR) Direct Current Transducers (DCCT) Modules
Solicitation number
MG-05212026
Issued by

About this file

This is a Past Performance Reference Information Form template used to collect and document a contractor's prior project experience relevant to the proposed work.

The form requests comprehensive details about reference contracts that demonstrate an offeror's capability to perform the Storage Ring (SR) Direct Current Transducers (DCCT) Modules work for Lawrence Berkeley National Laboratory. Required information includes the offeror's name and Unique Entity Identifier (UEI), the reference contract client (government agency or prime contractor), the entity awarded the contract with its UEI, contract number and title, and the reference contract period of performance. Offerors must provide the contracting officer's contact information and may include the Project Director or Contracting Officer's Representative, along with the contract type (Fixed-Price, Time and Materials, Cost Reimbursement, IDIQ, BPA, BOA, etc.), total contract value with approximate average annual value, and value performed to date as of the RFP release date of May 21, 2026. The form also requires a complexity summary describing the scope, work difficulty, similarity to the current solicitation, and any problems encountered with solutions implemented. Each reference contract submission is limited to three pages maximum. Offerors may modify the form's format provided they retain all required information fields and adhere to the specified page limitations.

View the file

Other files

Show all 14

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Past Performance Reference Information Form (Completed Form limited to 3 pages per reference contract.)

1. Name and Unique Entity Identifier (UEI) 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 .