Attachment_7_-_Past_Performance_Information_Form.pdf

SOLICITATION: 1305M2-18-R-

NFFN-0002 ATTACHMENT: 7

PAST PERFORMANCE INFORMATION FORM Form _____ of ______

OFFEROR NAME:

CONTRACT and ORDER NUMBER: AGENCY or CLIENT (name and location):

1. Refer to Section L of Solicitation 1305M2-18-R-NFFN-0002, Instructions to Offerors, PROPOSAL PREPARATION.

The offeror shall complete this form in its entirety for each contract identified in the offeror’s Volume II –Technical

Proposal, Factor 4 – Past Performance.

2. Check one of the following statements:

CPARS - The referenced Contract Number has a completed CPAR and can be located in the Past

Performance Information Retrieval System (PPIRS).

Past Performance Questionnaire (Fill-in Data under item 3 prior to sending to Agency/Client POC)

_______ The Point of Contact or Project Manager associated with the work completed under the referenced

Contract Number has been sent this form and the Past Performance Questionnaire to complete and return to

Contract Specialist, Julia Klotz, prior to the closing date of the solicitation: ______________ pm EST.

EMAIL: julia.callahan@noaa.gov

3. Provide the following data in its entirety.

a. Client point of contact (including 2 points of contact with titles, telephone numbers, and email addresses)

POC #1: __________________/Title: ____________/Phone: ______________/Email: ___________________

POC #2: __________________/Title: ____________/Phone: ______________/Email: ___________________

b. Brief Description of Project (Identify how the project relates to this solicitation):

d. Dollar Value of the contract (Original: $ _______________and Final: $_________________)

e. Whether Prime or Sub Contractor, and type of service performed:

Prime or Sub: _______________

Type:

f. Contract performance period at the start of the contract: Start: _____________ End: __________________

g. Actual performance dates upon completion: Begun: ______________ Completed: __________________

August 16, 2018 12:00

h. Contract Type: _______________

i. Percentage of growth in contract price (Additional work divided by award price) and the extent of

Subcontracting:

Growth Percentage: __________% Extent of Subcontracting: ___________________________

NOTE: It is the responsibility of the Offeror to follow‐up and to encourage references to submit the questionnaire prior to the solicitation closing date of: _____________ pm EST.

If Other:

August 16, 2018 12:00