A23 Attachment 5 Past Performance Data Sheet.docx
DOCX document 37 KB Posted
- Solicitation number
- HQ003426RE025
- Issued by
-
DOD Washington Headquarters Service
About this file
This is a Past Performance Data Sheet template for the solicitation HQ003426RE025, requiring offerors to document their relevant contract history and experience. Offerors must complete this form without altering its spatial structure, including borders, block sizes, and the four-page limit, and submit it as part of their proposal for the Facility Environmental Compliance, Planning, and Resiliency Technical Support contract with the DOD Washington Headquarters Service.
The form requires offerors to provide comprehensive information for each past performance reference, including the reference organization's complete name and address, contract number, contract dates, contract type and pricing details, final invoiced amounts, and both technical and contracting points of contact. Offerors must describe the relevancy of each referenced contract to the Performance Work Statement and solicitation requirements, with an estimated percentage of relevancy, and indicate the current status of the contract. For contracts requiring Small Business Subcontracting Plans under FAR 52.219-9, offerors must confirm timely submission of SF 294/295 reports and attach the most recently submitted report. The form includes a three-page summary section, single-spaced in 11-point Times New Roman font minimum, where offerors describe the nature and scope of work, its specific relevance to PWS sections, any problems encountered and corrective actions taken, related deliverables, and the extent of involvement as either a prime contractor, subcontractor, predecessor company, or key personnel.
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Text version
Source Selection Information - See FAR 2.101 and 3.104 ATTACHMENT - Solicitation Number HQ003425RE149
PAST PERFORMANCE DATA
(Note: Offerors must use this form, and are not to change the spatial structure of this form, i.e. borders, block size, 4-page limit, etc.)
Offeror’s Company Name:_______________________________________
1. Complete Name of Reference (Government agency, commercial firm, or other organization)
2. Complete Address of Reference
| 3. Contract Number or other control number |
| 4. Date of contract |
| 5. Date work was begun |
| 6. Date work was completed |
| 7. Contract type, initial contract price, estimated cost and fee, or target cost and profit or fee |
| 8. Final amount invoiced, or amount invoiced to date |
| 9a. Reference/Technical point of contact (name, title, address, telephone no. and email address) |
| 9b. Reference/Contracting point of contact (name, title, address, telephone no. and email address) |
10. Location of work (country, state or province, county, city)
11. Current status of contract (choose one): [ ] Ongoing [ ] Complete [ ] Terminated for Convenience [ ] Terminated for Default [ ] Other (explain)
2. Provide brief information describing the contract and the relevancy of the effort to be performed in accordance with the Performance Work Statement (PWS) and requirements of the solicitation. Provide an estimated % of relevancy of the referenced contract to the requirements set forth in this solicitation. Relevance shall address requirements included in the Facility Environmental Compliance, Planning, and Resiliency Technical Support PWS. Relevance can be discussed in further detail on the attached summary description as set forth in block 14 below.
Source Selection information – See FAR 2.101 and 3.104 ATTACHMENT – Solicitation Number HQ003426RE025 Facility Environmental Compliance, Planning, and Resiliency Technical Support
13a. Did this contract require a Small Business Subcontracting Plan pursuant to FAR 52.219-9? Yes , No . 13b. If “Yes” to 13a, have you regularly submitted SF 294/295 reports on time? Yes , No .
13c. Attach a copy of your most recently submitted SF 294/295.
14. Provide a summary description of contract work, not to exceed the three (3) pages in length included in this form. Each page shall be single-spaced and no less than 11-point font Times New Roman. Bolding, underlining, and italics may be used to identify topic demarcations or points of emphasis. Graphic presentations, including tables, though not subject to the same font size and spacing requirements, shall have spacing and text that is easily readable. Describe the nature and scope of work, its relevancy to this requirement’s performance work statement (PWS), include the PWS section(s), a description of any problems encountered and your corrective actions and any related deliverables. Include the extent of involvement (as a prime versus a subcontractor, predecessor company or key personnel).
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