J.3_Past_Performance_Information_Form.doc

Form of

SOLICITATION: 1305M219QNMAN0347

ATTACHMENT: J.3

PAST PERFORMANCE INFORMATION FORM

AGENCY OR CLIENT:

CONTRACT NUMBER:

Refer to Section L of Solicitation 1305M219QNMAN0027, Instructions to Offerors, REQUIREMENTS FOR PROPOSAL CONTENT. The offeror shall complete this form in its entirety for each contract identified in the offeror’s Volume I – Past Performance Proposal.

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, Susan Kenney-Lambert prior to the closing date of the solicitation: August 28, 2019, 10:00 am EST.

email: susan.kenney-lambert@noaa.gov

Provide the following data in its entirety.

Ship Name, Hull Number:

Dollar Value of the contract (Original: $ and Final: $ )

Type of service performed and whether Prime or Sub Contractor: Type: , Prime or Sub:

Contract performance period at the start of the contract: Start: End:

Actual performance dates upon completion: Begun: Completed:

Contract Type:

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: August 28, 2019, 10:00 am EST.