6-PastPerformanceform-FTA7(a)-73351019C0009_REVISED_3.6.19.docx

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Attached to
Fiscal Transfer Agent (FTA) Services for the SBA 7(a) Loan Guaranty Program - 2019 Federal contract opportunity
Solicitation number
73351019C0009
Issued by
Small Business Administration Office of Performance Management and the Chief Financial Officer

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Revised Past Performance / Past Experience form - 73351019C0009

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Past Performance / Past Experience Information Form 73351019C0009 Fiscal Transfer Agent (FTA) Services for the SBA 7(a) Guaranty Loan Program

Contracts & Projects in which Contractor Has Participated Within the Past Three (3) Years

Note: (1) If Contractor’s is partnering, all partners/subcontractors/teaming members should complete this form and submit it with the offer. Contractor can combine the past experience or provide separate sheets for each entity.

Note: (2) Contractor may add as many lines as necessary as long as the period of performance for the contract or project is either on-going or has a period of performance that includes time within the past three years.

Note: (3) Past performance / past experience can include grants and cooperative agreements, as well as contracts.

Contractor’s Name: __________________________________________________________________________________________ Contractor’s DUNS Number: _____________________________________________________________

Provide General Information: (1) Contract’s Identification Number (2) time period for contract (period of performance), (3) connection to contract – whether prime or sub or team member, (4) NAICS code for work.
Federal Agency or Private Entity, for which the contract / project was performed. Include contact information for person in the Federal Agency or Entity who can verify the contract and Contractor’s performance – include (1) name, (2) title, (3) phone number, and (4) email address. (Include as many contacts as are relevant.)
*As it relates to this contract, complete one sentence describing size of effort both financially and in terms of tasks or work effort. **As it relates to this contract, complete a second sentence describing Contractor’s accomplishments in terms of price control, and/or quality of work, and/or meeting a performance schedule or deadline.

1***

Contractor’s Free Form Space to provide any relevant information about contracts identified above:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

***Contractor may add as many lines as necessary and appropriate.

SBA Notes: For each contact made or attempted, give date of phone call or email, details of person giving past performance information, and the information obtained:

The Evaluation Committee chair has chosen three past performance points of contact, highlighted, to be contacted by an SBA evaluation committee member. The SBA representative will ask the following two questions and document responses:

(1) Did contractor perform this contract according to its terms and conditions?

(2) Would you recommend this contractor for other awards?

File details come from the government source that posted it.