S01_Attachment C - Past Performance Information.pdf

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Attached to
USDA / NRCS Elsberry Plant Materials Center Greenhouse Renovation Project
Solicitation number
12FPC325Q0002
Issued by

About this file

This is a Past Performance Information template form from the USDA Farm Production and Conservation Service (FPAC) to be completed by contractors submitting quotes or proposals. The form requests details for three previous contracts, with each section requiring the same information: company/individual name, point of contact details (name, title, phone, email), contract number and title, description of work performed, contract value, and start/end dates.

This template is associated with solicitation #12FPC325Q0002 for greenhouse renovations at the USDA-NRCS Elsberry Plant Materials Center in Missouri, which includes installing acrylic panels, replacing doors, concrete floor work, cooling system installation, lighting, and exhaust fan maintenance. The past performance information will be used to evaluate contractors bidding on this small business set-aside opportunity with an estimated value between $100,000-$250,000.

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Text version

United States Department of Agriculture (USDA) Farm Production and Conservation Service (FPAC)

Past Performance Information

Solicitation Number: ______________________ Name of Contractor: _________________________________________________

The following information shall be submitted by your company with your quote or proposal to provide recent and relevant past performance information as required by the solicitation.

Past Performance for Contract #1 Company or Individual:

Name & Title of POC:

Telephone Number POC:

Email for POC:

Contract Number & Title:

Description of Work:

Contract Value:

Start Date:

End Date:

Past Performance for Contract #2

Name & Title of POC:

Telephone Number POC:

Email for POC:

Contract Number & Title:

Description of Work:

Contract Value:

Past Performance for Contract #3

Name & Title of POC:

Telephone Number POC:

Email for POC:

Contract Number & Title:

Description of Work:

Contract Value:

Solicitation Number:
Name of Contractor:
Company or Individual:
Name Title of POC:
Telephone Number POC:
Email for POC:
Contract Number Title:
Description of Work:
Contract Value:
Start Date:
End Date:
Company or Individual_2:
Name Title of POC_2:
Telephone Number POC_2:
Email for POC_2:
Contract Number Title_2:
Description of Work_2:
Contract Value_2:
Start Date_2:
End Date_2:
Company or Individual_3:
Name Title of POC_3:
Telephone Number POC_3:
Email for POC_3:
Contract Number Title_3:
Description of Work_3:
Contract Value_3:
Start Date_3:
End Date_3:

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