Past Performance Reference Information Form Attachment B.docx
DOCX document 29 KB Posted
- Attached to
- SR Raft Alignment Systems & Load Levers
- Solicitation number
- MG-06152026
- Issued by
-
Department of Energy
About this file
This is a Past Performance Reference Information Form template used to collect information about offerors' relevant contract experience for evaluation purposes in response to RFP No. MG-06152026 for SR Raft Alignment Systems & Load Levers.
The form is designed to be completed by offerors and limited to three pages per reference contract. It requires offerors to provide comprehensive details about past performance on relevant contracts, including the client name and Unique Entity Identifier (UEI), the entity that performed the work, contract number and title, contract type (e.g., Fixed-Price, Time and Materials, Cost Reimbursement, IDIQ, BPA, BOA), total contract value with approximate annual value breakdowns, and value performed to date as of the RFP release date. Additionally, offerors must identify the contracting officer and may include the project director or contracting officer's representative as the primary point of contact, complete with name, title, telephone, address, and email. The form also requires a complexity summary addressing the scope, difficulty of work, similarity to the solicitation requirements, and any problems encountered with corresponding corrective actions taken. The RFP is being issued by the University of California on behalf of Lawrence Berkeley National Laboratory (LBNL), a Department of Energy facility, with proposals due by July 9, 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) 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 .