Addendum4-Solicitation-PastPerformanceForm.docx

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Central Servicing Agent for the 503/504 Loan Programs
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SBAHQ-12-R-0006
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Addendum 4 to SF-1447 - Past Performance Information 2 pages

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Past Performance Information

SBAHQ-12-R-0006

Contracts & Projects in which Contractor Has Participated Within the Past Three Years

Note: (1) If Contractor’s is partnering, all partners/subcontractors/teaming members should complete this form and submit it with the offer. Contractor can combine the past experience or provide separate sheets for each entity.

Note: (2) Contractor may add as many lines as necessary as long as the period of performance for the contract or project is either on-going or has a period of performance that includes time within the past two years.

Contractor’s Name: __________________________________________________________________________________________ Contractor’s DUNS Number: _____________________________________________________________

Provide General Information: (1) Contract’s Identification Number (2) time period for contract (period of performance), (3) connection to contract – whether prime or sub or team member, (4) NAICS code for work.
Federal Agency or Private Entity, for which the contract was performed. Include contact information for person in the Federal Agency or Entity who can verify the contract and Contractor’s performance – include (1) name, (2) title, (3) phone number, and (4) email address. (Include as many contacts as are relevant.)
*As it relates to this contract, complete one sentence describing size of effort both financially and in terms of tasks or work effort. **As it relates to this contract, complete a second sentence describing Contractor’s accomplishments in terms of price control, and/or quality of work, and/or meeting a performance schedule or deadline.
Complete one sentence describing why this contract or project is similar to this Solicitation or relevant to Contractor’s past performance, such as the kind of work, security requirements, financial nature, or other reason.

Contractor’s Free Form Space to provide any relevant information about contracts identified above:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

SBA Notes: For each contact made or attempted, give date of phone call or email, details of person giving past performance information, and the information obtained : ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Addendum 4 - Solicitation SBAHQ-12-R-0006 – Past Performance Information form Page 1 of 2

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