2.1.2b 24R0004 Attachment 1 Contract Data Sheet.docx

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Attached to
Nortel/Avaya/GenBand Telephone Switch Maintenance Japan
Solicitation number
N0040624R0004
Issued by

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This document is a Past Performance/Responsibility Evaluation form to be completed by the offeror and submitted with the offer for the Nortel/Avaya/GenBand Telephone Switch Maintenance Japan solicitation (N0040624R0004).

The form requires the offeror to provide details on a past performance contract, including the contract number, award date, government/commercial entity, contract type, annual and total contract value, period of performance, location, and primary and secondary points of contact. The offeror is also asked to provide a brief 300-word description demonstrating the similarity of the past contract to the requirements of the current solicitation in terms of customer, equipment, location, scope, and size. Additionally, the offeror should describe the methodology, equipment, and processes utilized on the past contract.

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PAST PERFORMANCE/RESPONSIBILITY EVALUATION

(This form is to be completed by the offeror and submitted with the offer)

The following information shall be provided for each past performance example for evaluation

• Contract Number/Order Number________________________________________

• Date of Contract Award_______________________________________________

• Name of the Government Agency or Commercial Entity __________________________________________________________

• Contract Type________________________________________________________________________

• Annual Contract Cost__________________________________________________________________

· Total Contract Value__________________________________________________________________

• Period of Performance Start Date_________________________________________________________

· Period of Performance End Date_________________________________________________________

· Location of Performance_______________________________________________________________

· Provide a primary and secondary Government or Customer POC.

Primary POC

Name____________________________________________ Email___________________________________________ Phone____________________________________________ Secondary POC

Name______________________________________________ Email______________________________________________ Phone______________________________________________

• In the section below, provide a brief description (not to exceed 300 words, any words beyond 300 will not be considered) of the services provided in this contract. The offeror should demonstrate the similarity of the contract, in terms of customer, equipment, location, scope, and size to the requirements of this solicitation for purposes of the review. Additionally, offerors should provide a brief description of the types of methodology, equipment, and processes utilized.

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