Attachment 4 Past Experience Information Form 20260611.docx

Attachment 4 - Past Experience Information Sheet

SIR# 697DCK-25-R-00302

SAVES IT HW/SW

ATTACHMENT 4 - PAST EXPERIENCE INFORMATION SHEET

Provide the information requested in this form for each contract vehicle being described. Provide frank, concise comments regarding your performance on the contract vehicle you identify. Provide a separate completed form for the contract/task order/program submitted. Submissions are in accordance with Section L.10.1 of SIR 697DCK-25-R-00302. SAVES Competition Pool Proposing under: Small or Unrestricted

CAGE Code:

UEI Number:

(NOTE: If the company or division performing this effort is different than the Offeror or if the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change that has occurred in the last 3 years (from the date of issuance of this SIR), note those changes and discuss the impact in Section J of this form.

B. Program/Contract Vehicle Name (e.g., SAVES):

C. Contract Specifics:

1. Contracting Agency or Customer

2. Contract Number

3. Contract Type

4. Period of Performance

5. Contract Awarded Value (including all orders)

6. Contract Annual Awarded Value (including all orders, reference Sec M.3.2):

7. Total value of orders issued within 12 months of proposal as it directly pertains to the OEM (reference Sec L.11.2.2): _____

8. Proposed Role in SAVES HW/SW Contract as __ Prime D. Brief Description of Awarded Effort as a Prime or in the cases of a Small Business JV individual member example under Table 1 Alternative #2 only performing as either the prime contractor, subcontractor or as a member of a JV

E. Primary Customer Points of Contact: (Provide current information on all individuals..

1. Program Manager/COR Name:

2. Address:

Telephone: Email:

3. Contracting Officer Name:

4. Address:

Telephone: Email:

The narrative for F–G below should not exceed three (3) pages.

F. Discuss how work performed on this program is relevant to the requirements of this SIR, specifically addressing the SOW Sections C06-16.

G. Discuss the requested information regarding Quality of Supplies/Service; Timeliness of Performance; Customer Satisfaction; Business Relations/Integrity/Effective Management; Ability to Manage Cost/Control Cost as required in SIR Sections L.