Past Performance Reference Information Form.docx
DOCX document 31 KB Posted
- Attached to
- ALS-U BPM Jumper Cables - Brackets
- Solicitation number
- AM202604-13
- Issued by
-
Department of Energy
About this file
This is a Past Performance Reference Information Form template that requires offerors to document their relevant contract experience when responding to solicitations.
The form requires offerors to provide comprehensive details about prior contracts including the offeror's name and UEI, the reference client name and UEI, the contract number and title, and the contract period of performance. Offerors must identify the contract type (such as Fixed-Price, Time and Materials, Cost Reimbursement, IDIQ, BPA, or BOA) and provide the total contract value with approximate average annual value and the value performed to date as of the RFP release date. A primary point of contact from the reference contract—specifically the Contract/Subcontract Lead or equivalent—must be identified with their title, telephone, address, and email. The complexity section requires offerors to summarize the scope, work difficulty, similarity to the current solicitation, and any problems encountered with creative solutions. Additionally, offerors must demonstrate commitment to safe work practices by providing relevant safety program information, safety performance indicators such as Experience Modification Rates for the past three years where applicable, and disclosure of regulatory citations from OSHA, Cal-OSHA, or equivalent international authorities within the past three years if readily available. The completed form is limited to three pages per reference contract, and offerors may amend the format provided they maintain exact information, font, and size requirements. The form does not mandate provision of all safety information, though the evaluating organization reserves the right to request clarification on the offeror's ability to perform work safely and responsibly.
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Other files
| File | Type | Posted |
|---|---|---|
| UPDATED - AL-1856-3588B.pdf | ||
| STEP FILES - SR ARC RAFT DIAGNOSTISC(1).zip | ZIP file | |
| Price Proposal Schedule Attachment B.xlsx | XLSX spreadsheet | |
| AL-1887-8364 Rev A.pdf | ||
| AL-1856-3588 Rev A.pdf | ||
| AL-1880-8281 Rev B.pdf | ||
| AL-1834-5302 Rev D.pdf | ||
| AL-1827-8073 Rev D.pdf | ||
| Sample Subcontract - 7864777.docx | DOCX document | |
| AL-1809-0433 Rev C.pdf | ||
| AL-1791-5257 Rev G.pdf | ||
| AL-1809-0424 Rev E.pdf | ||
| Rep-Cert Form - BPM Brackets.docx | DOCX document | |
| AL-1881-8087 Rev C - SOW.pdf | ||
| AL-1856-3584 Rev B.pdf | ||
| AL-1827-8092 Rev C.pdf | ||
| RFQ - Brackets BPM Jumper Cable.docx | DOCX document | |
| AL-1884-5021 Rev B - ACL.pdf | ||
| AL-1863-8575 Rev C.pdf | ||
| AL-1834-5301 Rev C.pdf | ||
| AL-1799-0821 Rev D.pdf | ||
| AL-1834-6726 Rev C.pdf | ||
| AL-1871-5458 Rev B.pdf |
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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 Contract/Subcontract Lead (or equivalent) and may also include the Project Director or Technical Representative (or equivalents).
Name:
Title:
Telephone:
Address:
Email:
7. Reference Contract Period of Performance:
8. Reference Contract Type (e.g., Fixed-Price Contract (FP), Time and Materials Contract (T&M), Cost Reimburement, 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.
Safety statistics: The Offeror shall demonstrate its commitment to maintaining safe work practices in the performance of the Work. This may include a summary of the Offeror’s safety program, relevant policies, and overall safety performance. Where applicable, the Offeror may also provide general information regarding the safety practices of any proposed lower-tier subcontractors.
To support an understanding of the Offeror’s safety approach, the Offeror is encouraged to provide available safety performance indicators, such as Experience Modification Rates (EMR) for the most recent three years, where applicable to the business unit(s) performing the Work. If provided, any EMR exceeding 1.0 should be accompanied by a brief explanation.
Disclosure of regulatory citations (including OSHA, Cal-OSHA, or equivalent international safety authorities) within the past three years is requested only to the extent such information is readily available and deemed relevant by the Offeror. Where disclosed, a high-level summary of the nature of the citation and its resolution status is sufficient. Detailed reporting is not required.
Failure to provide the above information will not, in itself, render a proposal non-responsive. However, the Laboratory reserves the right to request additional clarification if necessary to evaluate the Offeror’s ability to perform the Work in a safe and responsible manner.
Note: The Offeror may amend the format for Attachment A, as long as the exact information, font and size and page limitations are followed.
File details come from the government source that posted it. Updated .