Attachment 6: Past Performance Information

RFQ 75N98027Q00071 | Attachment 06

ATTACHMENT 06

PAST PERFORMANCE INFORMATION

RFQ 75N98027Q00071

PCA-ORS-06108 - Laundering and Dry Cleaning Services for the NIH Division of Police

Instructions
1. Complete this form and submit it with your quote (RFQ paragraph 6, item 4). It is used to evaluate Factor 2, Past Performance (RFQ paragraph 7).
2. List one to three contracts or purchase orders for laundry or dry cleaning services that you performed during the three years before the quote due date. Experience as a subcontractor may be listed if you state your role.
3. For each entry, provide a customer point of contact who can confirm the information. The Government may contact each point of contact and may also use other sources of past performance information, including Government databases. 4. A quote is acceptable under Factor 2 if at least one listed contract is for laundry or dry cleaning services and the customer reports that the services met contract requirements. A quote with no relevant past performance is rated neutral and remains eligible for award. 5. The Government will use the contact information only to evaluate this quote. Attach additional pages if more space is needed for any entry.

Offeror Information
Offeror legal business name
Unique Entity ID (UEI)
Point of contact for this form:
name and title
Point of contact: telephone and
email

No Relevant Past Performance
Check this box only if the offeror has no relevant past performance to list, and then sign the certification on the last page.
[ ] The offeror has no past performance for laundry or dry cleaning services in the last three years.

RFQ 75N98027Q00071 | Attachment 06

Reference 1
Customer name (agency or
company)
Contract, purchase order, or
agreement number
Offeror role

[ ] Prime contractor

[ ] Subcontractor

Contract type and total value
Period of performance (start and
end dates)
Place of performance (city and
state)
Services performed (check all
that apply)

[ ] Laundering [ ] Dry cleaning [ ] Pressing [ ] Repair or alteration [ ] Pickup and delivery

Description of the work,
including the types of garments

Approximate volume (items per
month or per year)
Customer point of contact: name
and title
Customer point of contact:
telephone and email
Did the contract end early, or did
the customer issue a cure
notice, termination notice, or
written performance complaint?

[ ] No

[ ] Yes (explain below)

[ ] Yes

[ ] No (explain above)