Atch 0003 Past Performance Questionnaire.pdf

ATTACHMENT 0003 : Past Performance Questionnaire

The offeror must submit up to five (5) Past Performance references. Each relevant past performance reference must have been performed during the last three (3) years from the date of issuance of the solicitation. This includes contracts that were awarded prior to this period, but still had performance occurring as of this time. In accordance with FAR 15.305(a)(2)(iii), the government will allow consideration of key personnel proposed for this contract to be evaluated as part of past performance.

A. Company/Division:

B. Program Title:

C. Contract Specifics:

1. Contracting Agency or Customer

2. Contract Number

3. Contract Type

4. Period of Performance

5. Total Contract Value, including all options

D. Brief description of effort as Prime or Subcontractor:

Indicate whether it was development and/or production, or other acquisition phase, and highlight portions considered most relevant to current acquisition.

E. Completion Date:

1. Original Date

2. Current Schedule

3. Estimate at Completion

F. Primary Customer Points of Contact:

(For Government contracts, provide current information on all three individuals;

for commercial contracts, provide points of contact fulfilling these same roles.)

1. Contracting Officer’s Representation or Contracting Officer

• Name

• Office

• Address

• Telephone

• E-mail

2. Program or Project Manager

• Name

• Office

• Address

• Telephone

• E-mail

G. Specify any technical (or other) area about this contract/program considered unique:

H. Narrative of past performance on this program:

I. Operations and Management:

J. Specify, by name, any key individual(s) who participated in this program and are proposed to support the instant acquisition; also, indicate their contractual roles for both acquisitions:

K. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting (if applicable):

ATTACHMENT 5 : Past Performance Questionnaire