ATCH_3__FBO_PAST_PERFORMANCE__.pdf

PR 20095090 Attachment 3

Past Performance Information (This page is intended as an aid for proposal submission)

This form may be used to submit recent and relevant contracts. If this form is used and a more detailed explanation is required, you may continue on a separate sheet of paper.

Contract Identification Number:

Award Date:

Total Contract Value:

Government or Commercial Contract? _______Government _______Commercial

Business or Agency Name:

Phone Number: ( ) _______________ Ext __________

Street Address:

Points of Contact:

Procuring Contracting Officer or Buyer:

Name

Telephone and FAX numbers:

Email Address:

Current Administrative Contracting Officer (if applicable):

Name:

Telephone and FAX numbers:

Email Address:

Government Quality Assurance Representative (QAR) (if applicable):

Name:

Telephone and FAX numbers:

Email Address:

Past Performance Relevance Matrix PR 20095090 Attachment 3

Description of Item:

Name or Nomenclature:

National Stock Number: Part Number:

Please provide an explanation of relevance to the current solicitation effort:

Relevant information can include any previous contracts with the Department of Defense (DOD), previous work on Government Installations, and previous contracts for Relocation Services. The offeror is required to explain how the information provided in the contract reference(s) is related to the requirements of this solicitation.

Describe technical innovations or engineering changes (i.e., green initiatives, etc,) that improved the quality of performance aspects of the delivered product, or any significant achievements associated with contract performance:

Were there any instances where technical or schedule requirements were not met? If not, please state “NONE”:

If you answered YES to the above, please identify the contract and explain the cause of delay such as castings, subcontractor or vendor problems, Technical Data Discrepancies, etc. Include the original and revised schedules in the spaces below:

Past Performance Relevance Matrix PR 20095090 Attachment 3

Contract Reason Original Revised Number For Delay Schedule Schedule

Describe any quality problems that you encountered in the performance of a contract that negatively impacted the customer (for example customer complaints, Lot rejects or First Article failures, audit findings, etc.)

Finally, list the Quality Deficiency Report (QDR) number (if applicable) and describe the deficiency. Include a description of the corrective actions implemented as a result of the problems encountered and if applicable identify any significant achievements associated with this contract.

NAME:

TITLE:

PHONE AND/OR FAX NUMBER:

DATE COMPLETED: