Att.J-12 Past Performance Information Form.pdf

PDF 232 KB Posted

Attached to
Screening Information Request (SIR) FAA's AMA- 400 Technical Instructional Support Services Contract Federal contract opportunity
Solicitation number
6973GH-25-R-00020
Issued by
Department of Transportation Federal Aviation Administration Franchise Acquisition Services

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This is a Past Performance Experience Information Form (Att.J-12) template that offerors must complete for each current or former contract being submitted as past performance reference. The form is divided into two parts - Part I to be completed by the offeror and Part II to be completed by the rater/customer.

The form requires detailed contract information including project title, contract number, agency/customer details, contract type, purpose, award date, period of performance, total value, and competitive status. Both prime contractors and subcontractors must complete this form, which must be included in the Past Performance Volume at proposal submission. The form references a companion document (Att.J-13) that contains the actual past performance questionnaire to be completed by the reference. This template is part of solicitation number 6973GH-25-R-00020 for FAA's Technical Instructional Support Services Contract.

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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

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:

Description:

Competitive Award? Yes No

PART II

(TO BE COMPLETED BY RATER/

CUSTOMER)

Please See Att.J-13-Past Performance Questionnaire

SIR 6973GH-25-R-00020

Offeror Name:

Offeror Address:

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 .