J.4_Section_L._Past_Performance_Information_Form.pdf

SOLICITATION: 1305M219RNMAN0004

ATTACHMENT: J.4

1. Refer to Section L of Solicitation 1305M219RNMAN0004, Instructions, Conditions and Notices to Offeror, PROPOSAL PREPARATION. The offeror shall complete this form in its entirety for each contract identified in the offeror’s Volume II – Past Performance Proposal.

2. Check one of the following statements:

CPARS - The referenced Contract Number has a completed Contractor Performance Assessment Reporting

System (CPARS) evaluation.

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, James Rall, prior to the closing date of the solicitation: March 28 2019, 2 PM EST.

EMAIL: james.rall@noaa.gov (Cc Andrew.Hildebrandt@noaa.gov)

3. Provide the following data in its entirety.

a. Contract Number and Client point of contact (including 2 points of contact with telephone numbers)

POC #1: /Phone: /Email: _______________________

POC #2: /Phone: /Email: _______________________

b. Name of the Government Agency or Private Firm for which the contract was performed. _________________

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

d. Type of service performed and whether Prime or Subcontractor: Type: , Prime or Sub:

e. Identify modification(s) performed on small and/or medium, twin engine turboprop aircraft, which has a pressurized cabin, and identify what, if any type STCs, were required (if necessary, provide information on a separate sheet).

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

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

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: __

PAST PERFORMANCE INFORMATION FORM

AGENCY OR CLIENT:

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: March 28, 2019, 2 PM EST.

CONTRACT NUMBER:

Form of