B2 - RFQ EXHIBIT 1 PAST PERFORMANCE TEMPLATE.docx
DOCX document 26 KB Posted
- Attached to
- TRIBAL AND INDIGENOUS ADVISORY COUNCIL SUPPORT
- Solicitation number
- 05GA0A24Q0024
About this file
This document is a Past Performance Description template for RFQ 05GA0A24Q0024 for the U.S. Government Accountability Office Acquisition Management. The template requests information on the contractor's past performance, including the contract title, client agency, contract number, percentage of work performed, facility clearance, NAICS code, contract type, key personnel, performance summary, problems encountered and corrective actions, labor hours, and total contract costs. The template also asks for information on whether a Government Past Performance Questionnaire was submitted and if the most recent CPAR was included. This template is to be completed and submitted as part of the quotation for the Tribal and Indigenous Advisory Council Support solicitation.
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Text version
RFQ 05GA0A24Q0024
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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