Addenda 15- Past Performance Information Sheet.pdf

Past Performance Information Sheet H92240-20-T-0009 – Addenda 15

TO BE COMPLETED BY THE OFFEROR AND SUBMITTED TO THE CONTRACTING OFFICER

OFFEROR’S COMPANY NAME

AND COMPANY’S ROLE UNDER

PAST PERFORMANCE

REFERENCE

E.g., X company is prime for this solicitation

POINT OF CONTACT FOR PAST

PERFORMANCE

CUSTOMER’S COMPANY NAME

OR AGENCY

CONTRACT NUMBER

CONTRACT TYPE (FIRM FIXED

PRICE, COST REIMBURSABLE,

ETC.)

PLACE OF PERFORMANCE

CONTRACT START DATE

CONTRACT END DATE

CONTRACT DOLLAR VALUE (per year/total)

PAST PERFORMANCE

COMPANY’S ROLE IN PAST

EFFORT (Prime/Subcontractor) e.g., Y company was a prime on the effort and did x type of work/tasks under the effort.

VALUE OF WORK SELF-

PERFORMED

CONTRACTING OFFICER NAME,

EMAIL

PROVIDE TWO POINTS OF CONTACT THAT CAN COMMENT ON THE QUALITY OF SERVICE

CUSTOMER POINT OF CONTACT #1

NAME

TITLE

COMM # FAX # DSN #

E-MAIL ADDRESS

CUSTOMER POINT OF CONTACT #2

NAME

TITLE

COMM # FAX # DSN #

E-MAIL ADDRESS

DESCRIPTION OF WORK PERFORMED

COMMENTS / REMARKS

[Include information on problems encountered during performance of this contract, if any, and corrective actions taken]