Past_Performance_Information_Form.docx

Attachment (C) – Solicitation SPMYM1-15-R-0012

PAST PERFORMANCE INFORMATION FORM

Name of Vendor submitting proposal:

Past contract/purchase order number or identifier:

Past contract customer name and location:

Customer Point of Contact (Name & Title):

Telephone Number and e-mail address (PLEASE VERIFY):

Total dollar value for this effort broken into annual increments if there were option quantities:

Contract period of performance

From:

To:

Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:

Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts: