Past Performance Worksheet.xlsx

17 KB Posted

Attached to
Amendment 0001 - Brockton B69 Generator Remote Annunciator
Solicitation number
36C24126Q0445
Issued by

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Written by GovTribe AI ·

This is a Past Performance Worksheet template designed to document contractor experience on relevant federal contracts. The form captures three past performance references (REF #1, REF #2, and REF #3), each requiring comprehensive information about prior contracts with government agencies, commercial firms, or other organizations.

For each reference, the worksheet requires contractors to provide: the contracting activity name and address; contract number; award date and performance period (beginning and completion dates); total contract value; contract type; technical and contracting points of contact with full address and communication details; place of performance; a detailed description of work performed; any commendations or awards received; and identification of major subcontractors. The template provided shows one example reference populated with "Preventative Maintenance" from the Department of Veterans Affairs, with the remaining two references left blank for contractor completion. This worksheet is a standard evaluation tool used by federal agencies to assess bidder qualifications and past performance capability in relation to the current solicitation requirements.

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File Type Posted
Amendment 0001.pdf PDF
LOS Certification - 36C24126Q0445.pdf PDF
36C24126Q0445.pdf PDF
Wage Determination 2015-4047 Rev 32.pdf PDF

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REF #1

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization: Preventative Maintenance, Department of Veterans Affiars
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

REF #2

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

REF #3

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

File details come from the government source that posted it. Updated .