Attachment 4: Past Performance

ATTACHMENT 4: PAST PERFORMANCE

Project No. (check one) :
1.

Project #1

Project #2

Project #3

Project #4

Project #5

Experience for:
Offeror

Joint-Venture

Other (Explain):

Company/Division Name:
Address:

2.

UEI Number:

Cage Code:

Point of Contact:

Contact Phone Number:

Work Performed as:
Prime

Subcontractor

Other (Explain):

Percent of project work performed:
If subcontractor, who was prime (Name/Phone #):
3.

Project Information:
Contracting Agency/Program Title:
Title:
Location:

4.

Contract Number:

Delivery/Task Order Number:

Award Amount:

Final Price:

Award Date (mm/dd/yy):

Completion Date (mm/dd/yy):

Type of Work: (Provide a brief description of the type of work e.g. Securing commercial leases; Professional Services)

5. Major Achievements:

6. Provide a detailed description of the project and the relevancy to the Statement of Work: