Attachment 2: Past Performance Information Sheet

ATTACHMENT 2

PAST PERFORMANCE INFORMATION SHEET

PART 1: Provide the following information requested in this format for each of the projects/contracts you intend to have submit for evaluation. The Government will be reviewing the CPARS system. A minimum of 4 projects are required with a maximum of 6 projects. Projects may be on-going (at least 90% complete) and cannot have been completed any later than 5 years prior to the solicitation release date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you elect to reference. Total page limit including this form per project is 5 pages. Project No. (check one): FORMCHECKBOX - 1 FORMCHECKBOX - 2 FORMCHECKBOX - 3 FORMCHECKBOX - 4 FORMCHECKBOX - 5 FORMCHECKBOX - 6

1. OFFEROR:

Offeror Name:

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Firm who performed the work:

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Performed this work as:
FORMCHECKBOX Prime Contractor FORMCHECKBOX Joint Venture FORMCHECKBOX Other (explain):

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If the firm who performed this project differs from the Offeror proposing on this contract, identify the firm’s relationship to the Offeror: FORMCHECKBOX Joint Venture Partner FORMCHECKBOX Partner FORMCHECKBOX Subsidiary
FORMCHECKBOX Parent Company
FORMCHECKBOX Affiliate
FORMCHECKBOX Predecessor Company

FORMCHECKBOX Other: FORMTEXT

2. CONSTRUCTION CONTRACT:

Contract/Project No.:

Delivery/Task Order Number:

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Title:

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Location:

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3.
Award Date (mm/dd/yy):

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Award Amount: $

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Completion Date (mm/dd/yy):

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Current/Final Amount: $

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4.
Type of Contract:
FORMCHECKBOX Design-Build. If D-B, design firm was:

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(check one)
FORMCHECKBOX Design-Bid-Build

5. Customer:

Name:

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Point of Contact Name/Title:

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POC Phone Number:

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POC Email Address:

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Project Description:
6. Type of Work (check all that apply): FORMCHECKBOX New Construction FORMCHECKBOX Renovation/Repair 7. Type of Project: (check all that apply):
☐Predominantly Utility Project
☐ Hospital/Medical Center
☐ Animal Care Facility
☐ Laboratory
☐Other

PART 2: Is there a Contractor Performance Assessment Report (CPAR) for this contract? Yes or No

***NOTE***: If the answer to above question is “NO” ensure there is a Past Performance Questionnaire (Attachment 3) is completed by the Customer/Owner and returned to the Contracting Officer by the closing date of this RFP.

PART 3: Provide a detailed description of the work performed under the contract and describe why you believe the work is VERY REVELANT, RELEVANT, or SOMEWHAT RELEVANT. Address the following: