Attachment 4 - Past Project Form.doc

ATTACHMENT 4

PAST PROJECT FORM

1. Name of Contractor

1a. Solicitation Number (i.e. the solicitation your firm is responding to)

2. Complete Name of Government Agency, Commercial Firm, or Other Organization for Which Effort was Performed.

3. Complete Address of Entity Named in #2 Above

5. Date of Project Award

6a. Total Project Price (to include all options):

6b. Current Annual Estimated Price:

7. Period of Performance (to include all options)

8. Level of Security Clearance Required (If applicable)

(If applicable) Type/Level:

9. Quantity and types of services perform under the requirement:

10a. Technical Point of Contact (name, title, address, telephone no., and email address)

10b. Contracting or Purchasing Point of Contact (name, title, address, telephone no., and email address)

11. Geographic Location of Work (Country, State or Province, County, City)

12. Contractor Performance Assessment Reporting System (CPARS) Completion: CPARS is a web-enabled application that collects and manages contractor performance assessments. A CPAR report is required to be completed annually through the conclusion of the contract. Contractors may view their own data at https://www.cpars.gov/.

Contractor Complete the Following by Checking the Appropriate Box:

□ A “finalized” Contractor Performance Assessment Report IS resident in CPARS for this contract for the most recently completed performance period.

□ A “finalized” Contractor Performance Assessment Report IS NOT resident in CPARS for this contract for the most recently completed performance period.

13. Description of Contract Work. In order to establish the relevance of your project to the instant requirement, please describe the scope, magnitude and complexity of this work, comparing and contrasting it to that required under this solicitation. Additionally, describe any unique or unusual requirements of the contract, and performance problems or issues encountered under the performance of the contract. Include discussion of any previous or ongoing Department of Labor investigations of your firm for any labor related violations. For problems/issues noted, describe the method of resolution and/or corrective actions taken. Use a continuation sheet, if necessary.