52.212-1 Attachment 1 PAST PERFORMANCE INFORMATION FORM.docx

DOCX document 22 KB Posted

Attached to
30 Meter Elipticus Antenna Federal contract opportunity
Solicitation number
FA8126-21-R-0003
Issued by
Department of the Air Force Materiel Command Air Force Sustainment Center

About this file

This document contains a past performance information form template and details of a related federal contract opportunity. The past performance form requests information on previous contracts for a vendor, including contract details, descriptions of work, points of contact, and notes on performance. The related solicitation is for the removal of an existing 20 meter elliptical antenna and replacement with a 30 meter elliptical antenna for the Department of the Air Force Materiel Command Air Force Sustainment Center. It is a full and open competition fixed price solicitation under number FA8126-21-R-0003. The opportunity involves products and services related to suspended antennas and low-level continuous wave testing.

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Text version

PAST PERFORMANCE INFORMATION FORM

ATTACHMENT 1 (52.212-1 Addendum)

Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify.

Provide examples of experience building 30m or similar suspended antennas Provide examples of previous work involving LLCW testing

PART A

Vendor Name
Vendor CAGE Code
DUNS Number

*Note: If the vendor currently performing this effort is different than the vendor identified above note these organizational changes under Part A.

PART B

Program Title

PART C

Contracting Agency (or customer)

Contract Number
Contract Type
CPARS

Available

Choose an item. Choose an item.

*Note: If multiple contract types exist on one contract, select the contract type accounting for the highest percentage of the estimated/obligated dollar value.

Original Period of Performance
Current/Final Period of Performance

*Note: If the original period of performance differs from the current/final period of performance please explain the difference.

Original Contract Dollar Value
Current/Final Contract Dollar Value

*Note: If the original contract dollar value differs from the current/final contract dollar value please explain the difference.

PART D

Brief Description of Effort
Prime
Subcontractor

Select One

*Note: Please highlight in your description above, portions of effort considered to have the most comparable characteristics to the acquisition solicited (e.g. similarity of product/service, complexity, etc.).

PART E

Program and/or Site Manager - Current Primary Customer Points of Contact

Name

Office

Address

Phone Number

Fax Number

Email

Procuring Contracting Officer - Current Primary Customer Points of Contact

Name

Office

Address

Phone Number

Fax Number

Email

Administrative Contracting Officer - Current Primary Customer Points of Contact

Name

Office

Address

Phone Number

Fax Number

Email

*Note: For commercial contracts, provide points of contact fulfilling these same roles (i.e. PM, PCO, and ACO).

File details come from the government source that posted it. Updated .