Past Performance Information Form

PAST PERFORMANCE INFORMATION FORM

Form

of

Name of Offeror:
Contract Number, order number, or
identifier:
Customer Name & 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:
(For ordering vehicles, show both the annual estimated
contract amount and the amount of orders actually
performed)

Number of personnel (FTE)
performing per year (avg.):

(Show either fiscal year or calendar year and dollars):

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: