Attachment 4 - Past Performance Information Form_20250918.docx

Attachment 4 - Past Performance Information Sheet

SIR 697DCK-25-R-00302

SAVES IT HW/SW

ATTACHMENT 4 - PAST PERFORMANCE 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 each contract/task order/program submitted. Limit the number of past efforts submitted and the length of each submission to the limitations set forth in 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 no. of orders issued within 12 months of proposal or completion of contract:

8. Total value of orders issued within 12 months of proposal or completion of contract:

9. Proposed Role in SAVES HW/SW Contract as Prime or Subcontractor D. Brief Description of Awarded Effort as Prime or Subcontractor

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 per example.

F. Discuss how work performed on this program is relevant to the requirements of this SIR, specifically addressing the SOW Sections C06-16, and discussing the relevant OEM coverage and relationships for those OEMs listed in SIR Section L.11.2.2.1(a)(i)

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.11.2.2.1(a)ii – vii.