Attachment_J.5_Past_Perf_Info_revised.docx

Attachment J.5

Past Performance Information

The following form is included in the solicitation to guide Offerors in responding to the Past Performance Information proposal instructions. The form is not required if the below information is available in the Government past performance systems. Offerors may include information related to recent Cooperative Agreements for similar efforts to the work in the subject Statement of Work with similar size, scope and complexity. Offeror should appropriately populate information for the Cooperative Agreement details.

(To be completed by the offeror)

1. Contract Number:

2. Contractor (Name and Address):

3. Customer Agency /Organization

4. Does a CPARS/PPIRS record exist for this work? Yes or No

5. Type of Contract: Negotiated Sealed Bid Fixed Price Cost Reimbursement _____ Hybrid (explain)

6. Complexity of Work: Difficult Routine

7. Description, location, and relevancy of work:

8. Contract Dollar Value: Status: Active Completed

10. Type and Extent of Subcontracting:

11. Name, Address, Telephone Number, and E-mail Address of the Procuring Contracting Officer and/or the Contracting Officer ’s Representative (and other references—e.g., Administrative Contracting Officer —if applicable):