05GA0A23Q0037- ARM Electronic Access to Financial Data- Appendix A- Past Performance Template.docx
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| 05GA0A23Q0037- ARM Electronic Access to Financial Data- Appendix B- Past Performance Questionnaire.docx | DOCX document | |
| 05GA0A23Q0037- (Original RFQ).pdf |
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RFQ 05GA0A23Q0037
APPENDIX A- Past Performance Template
PAST PERFORMANCE DESCRIPTION SUBMITTAL # X OF X
| CONTRACTOR NAME: |
| (Who performed the work?) |
| |_| PRIME |
| |_| SUB |
IF NOT THE PRIME, WHO WAS THE PRIME (NAME / EMAIL / PHONE)
| |_| JOINT VENTURE |
| |_| OTHER EXPLAIN BELOW |
CAGE CODE:
DUNS NUMBER:
CONTRACT TITLE / PROJECT NAME:
CLIENT FEDERAL AGENCY OR DEPT:
CONTRACT NUMBER/ ORDER #:
PERCENT % OF PROJECT WORK (TASKS) PERFORMED BY THE REFERENCED CONTRACTOR SUBMITTED:
PERCENT % OF WORK PERFORMED BY SUBCONTRACTOR(S):
HIGHEST FACILITY CLEARANCE REQ?
PROJECT LOCATION: CITY, STATE, OR COUNTRY
TASK AREA(S):
SUBCONTRACT PLAN REQ?
NAICS CODE:
COMPLEXITY OF WORK:
HIGH, MEDIUM, ROUTINE
CONTRACT TYPE (FFP, T&M, LH, CR, OTHER – SPECIFY):
PROCURING CONTRACTING ACTIVITY & PROJECT OWNER TECHNICAL POCS:
| POINTS OF CONTACT |
| PROCUREMENT CONTRACTING OFFICER (PCO): |
| TECHNICAL REPRESENTATIVE (TR)/PROGRAM MANAGER (PM): |
| CONTRACTING OFFICER REPRESENTATIVE (COR): |
NAME/TITLE:
ADDRESS:
TELEPHONE:
AGENCY/DEPT
E-MAIL:
CONTRACT/PROJECT SUMMARY DESCRIPTION – RESPONSIBILITIES & SERVICES: ENTER A BRIEF, TARGETED DESCRIPTION OF YOUR CONTRACT PERFORMANCE. BE SURE TO ADDRESS YOUR TECHNICAL PERFORMANCE, COST CONTROL, SCHEDULE (TIMELINESS), AND BUSINESS RELATIONS:
CONTRACT RELEVANCE – ADDRESS THE REASONS WHY YOUR PAST PERFORMANCE IS RELEVANT TO THE CURRENT SOLICITATION:
PROBLEMS ENCOUNTERED DURING CONTRACT PERFORMANCE, CORRECTIVE ACTIONS TAKEN AND SOLUTIONS TO STATED PROBLEMS:
IDENTIFY AND DISCUSS TURNOVER & RETENTION RATE:
IDENTIFY AND DISCUSS COMPLIANCE ISSUES & CONCERNS, INCLUDE LESSONS LEARNED:
PERIOD OF PERFORMANCE:
| AWARD DATE: |
| START DATE: |
| ORIGINAL COMPLETION DATE: |
| FINAL CONTRACT COMPLETION DATE: |
| MM-DD-YYYY |
| MM-DD-YYYY |
| MM-DD-YYYY |
| MM-DD-YYYY |
ADDRESS:
COST / PRICE:
| SOLE SOURCE OR COMPETITIVE: |
| ORIGINAL PROJECT COST/PRICE AWARDED & FUNDS OBLIGATED (FOR THE REFERENCE SUBMITTED) |
| FINAL (OR TO DATE) PROJECT COST/PRICE OF AWARD & TOTAL FUNDS OBLIGATED (FOR THE REFERENCE SUBMITTED) |
| COST/PRICE DIFFERENCE OF AWARD VALUE & FUNDED VALUE (FOR THE REFERENCE SUBMITTED) |
| $00.00 |
| $00.00 |
| $00.00 |
| $00.00 |
| $00.00 |
| $00.00 |
EXPLANATION OF ANY VARIANCE IN COST/PRICE:
| TOTAL CONTRACT LABOR HOURS / # FTE: |
| TOTAL TASK LABOR HOURS / # FTE |
(IF APPLICABLE):
PROGRAM MANAGER
(IF APPLICABLE):
LAST DATE USED AS PAST PERFORMANCE REFERENCE AND/OR QUESTIONNAIRE COMPLETED:
GOVERNMENT OFFICIAL PAST PERFORMANCE QUESTIONNAIRE SUBMITTED TO THE FOLLOWING |_| YES |_| NO :
POINTS OF CONTACT:
NAME/TITLE:
ADDRESS:
TELEPHONE:
AGENCY/DEPT:
E-MAIL:
DATE REQUESTED:
MOST RECENT CPAR SUBMITTED AS PART OF THE QUOTATION |_| YES |_| NO
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