Att.J-12 Past Performance Information Form_Rvsd AMEND-002.pdf

227 KB Posted

Attached to
Screening Information Request (SIR) AMA- 400 Technical Instructional Support Services Contract
Solicitation number
6973GH-24-R-00043
Issued by

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This document is a Past Performance Experience Information Form (Att.J-12) for a federal contract opportunity. The form is to be completed by the offeror providing past performance information and then sent to the customer/rater to be completed. The contract opportunity is for Screening Information Request (SIR) AMA-400 Technical Instructional Support Services, a competitively set-aside 8(a) small business contract with a 5-year term including a 1-year base period and four 1-year option years. The contract will provide instructional services for the FAA's Technical Operations Training Division, utilizing various instructional methods and media. The contract has Firm-Fixed-Price, Labor Hour, and Cost Reimbursement contract line items. Offerors must submit their own completed Att.J-12 form along with the Att.J-13 Past Performance Questionnaire to be sent to the customer/rater. Responses are due by the close of business on March 21, 2024.

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Att.J-12: PAST PERFORMANCE EXPERIENCE INFORMATION FORM

PART I (TO BE COMPLETED BY OFFEROR REQUESTING THE REFERENCE)

Instruction: Offeror must complete this form for each (current or former) effort that is being submitted as Past Performance. A copy of each completed form, Att.J-12, must be included in the Past Performance Volume of your proposal. Att.J-13 must be completed and sent to the Rater/Customer to be completed. The Prime Offeror must provide this form to (and collect from) any Subcontractor submitting experience for evaluation.

Each prime and subcontractor form must be included in Past Performance Volume at the time of proposal submission.

A. OFFEROR INFORMATION – Check One: PRIME SUBCONTRACTOR

Offeror Name:

Offeror Address:

B. CONTRACT IDENTIFICATION

Project Title:

Contract Number:

Agency/Customer:

Agency/Customer POC Name:

Agency/Customer POC Email Address:

Contract/Order/Subcontract/Other:

Contract Type:

Contract Purpose (e.g., Service, Supply, Development/First Article, and R&D)?

Contract Award Date:

Period of Performance:

Total Contract Value:

Value of Offeror’s Share:

Competitive Award? Yes No

PART II (TO BE COMPLETED BY RATER/

CUSTOMER) Please See Att.J-13-Past

Performance Questionnaire

SIR 6973GH-24-R-00043

Offeror Name:
Offeror Address:
AgencyCustomer POC Email Address:
ContractOrderSubcontractOther 1:
Project Title:
Contract Number:
Agency/Customer:
Agency/Customer POC Name:
Check Box4: Off
Check Box5: Off
Group6: Off
Group6-: Off
Contract Type:
Contract Purpose:
Contract Award Date:
Prd of Performance:
Contract value:
Offeror's share:

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