Past Performance Reference List.pdf
PDF 205 KB Posted
- Attached to
- Repair NPS Dorms Gutters and Windows
- Solicitation number
- FA301025R0027
About this file
This document is a Federal Acquisition (FA) solicitation form for a contract to Replace NPS Dorms Windows and Gutters, with the specific solicitation number FA301025R0027. The form is a two-page template designed for contractors to provide detailed information about their previous contract performance, including contract numbers, description of work performed, contract period, contracting agency details, contract value, and any subcontractor or key personnel involvement. The first page provides space for listing multiple contracts, while the second page allows for detailed explanation of subcontractor, teaming arrangement, or key personnel functions and their impact on contract performance. The form appears to be part of a procurement process, likely for a construction or renovation project involving window and gutter replacement at National Park Service (NPS) dormitories.
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Text version
FA301025R0027
Replace NPS Dorms Windows and Gutters
1 | P a g e
COMPANY NAME:
CONTRACT NUMBER
(task order number(s) required if referencing an IDIQ contract)
Identify if CPAR is available
DESCRIPTION OF WORK PERFORMED
(performed as a prime/sub-contractor)
CONTRACT PERIOD OF
PERFORMANCE (POP)
CONTRACTING AGENCY,
POC/CUSTOMER NAME,
PHONE #, & EMAIL
CONTRACT/
TASK ORDER
VALUE
PERFORMED BY A PROPOSED
SUBCONTRACTOR, KEY
PERSONNEL, OR TEAMING
ARRANGEMENT? (if yes, complete page 2)
Use this space to provide additional information such as comments on any performance deemed unacceptable to customer, or not in accordance with the contract terms and conditions, etc. If additional information is provided for more than 1 contract, identify comments by contract number. Use multiple sheets if necessary.
FA301025R0027
Replace NPS Dorms Windows and Gutters
2 | P a g e
CONTRACT NUMBER
(task order number(s) required if referencing an IDIQ contract)
SUBCONTRACTOR,
TEAMING
ARRANGEMENT, OR
KEY PERSONNEL
DESCRIBE FUNCTION/TASK/3rd PARTY AFFECT ON PERFORMANCE (See Section L, answer all questions pertaining to subcontractor, teaming arrangement, or key personnel; indicating affect they had and percentage completed on referenced contract listed on page 1, and affect they will have and percentage they will complete while performing this contract)
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow1: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow1: |
| CONTRACT PERIOD OF PERFORMANCE POPRow1: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow1: |
| CONTRACT TASK ORDER VALUERow1: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row1: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow2: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow2: |
| CONTRACT PERIOD OF PERFORMANCE POPRow2: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow2: |
| CONTRACT TASK ORDER VALUERow2: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row2: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow3: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow3: |
| CONTRACT PERIOD OF PERFORMANCE POPRow3: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow3: |
| CONTRACT TASK ORDER VALUERow3: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row3: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow4: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow4: |
| CONTRACT PERIOD OF PERFORMANCE POPRow4: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow4: |
| CONTRACT TASK ORDER VALUERow4: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row4: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contract Identify if CPAR is availableRow5: |
| DESCRIPTION OF WORK PERFORMED performed as a primesubcontractorRow5: |
| CONTRACT PERIOD OF PERFORMANCE POPRow5: |
| CONTRACTING AGENCY POCCUSTOMER NAME PHONE EMAILRow5: |
| CONTRACT TASK ORDER VALUERow5: |
| PERFORMED BY A PROPOSED SUBCONTRACTOR KEY PERSONNEL OR TEAMING ARRANGEMENT if yes complete page 2Row5: |
| Use this space to provide additional information such as comments on any performance deemed unacceptable to customer or not in accordance with the contract terms and conditions etc If additional information is provided for more than 1 contract identify comments by contract number Use multiple sheets if necessary: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow1: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow1: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow1: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow2: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow2: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow2: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow3: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow3: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow3: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow4: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow4: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow4: |
| CONTRACT NUMBER task order numbers required if referencing an IDIQ contractRow5: |
| SUBCONTRACTOR TEAMING ARRANGEMENT OR KEY PERSONNELRow5: |
| DESCRIBE FUNCTIONTASK3rd PARTY AFFECT ON PERFORMANCE See Section L 2d through 2g answer all questions pertaining to subcontractor teaming arrangement or key personnel indicating affect they had and percentage completed on referenced contract listed on page 1 and affect they will have and percentage they will complete while performing this contractRow5: |
| 2 P a ge: |
| Text1: |
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