Atch 3 MS Past Performance Information Sheet.docx

DOCX document 30 KB Posted

Attached to
Mobile Sensors Operation & Maintenance Follow-on
Solicitation number
FA702221R0002
Issued by

About this file

This document is a past performance information sheet template for a federal solicitation. It requests information on up to three relevant past or present contracts to be completed within the last five years, including contract details, descriptions of efforts performed, completion dates and changes, customer points of contact, technical areas, compliance with small business goals, subcontracting plans, key personnel details, and descriptions of work to be performed. The related federal contract opportunity is for non-personal services to support the operation and maintenance of radars located on United States Naval Ships to support the Air Force Technical Applications Center. The solicitation number is FA702221R0002 and proposals are due by the unspecified date. The agency is the Department of the Air Force Air Combat Command.

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PAST PERFORMANCE INFORMATION SHEET

Provide the information requested in this form for each contract/program (citation) being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. Limit the number of citations submitted and the length of each submission to the limitations set forth at paragraphs L.3.1 and Table 3.1 –Submittal Requirements, respectively, of Section L, Para L.2 – General Information, of this solicitation.

Instructions: Complete the below table of contract contacts for applicable past or present contracts which will be recent (within the last five (5) years from date of issuance of RFP) and relevant to the requirements as found in the solicitation. By competing and signing this attachment, the offeror represents that it has distributed the questionnaire (Attachment 04) to each entry on the table. For less than three (3) entries within the table, the offeror will place N/A in the associated fields. The offeror shall submit this sheet as part of the offer. The offeror shall not include any completed questionnaires in Volume IV - Pricing.

Prime/Sub
Contract No.
Contract Name
POC Name
Position
Email
Phone
Prime
EXAMPLE

FA7037-16-C-0015

Widget Services
Bob Jones
Program Manager
bob@us.af.mil
210-555-1000

By my signature below, I certify that each of the above listed POCs have been sent a copy of Attachment 4 – Past Performance Questionnaire to complete for purposes of past performance evaluation in Solicitation No. FA7022-21-R-0002.

Printed Name (Replace with actual name) Printed Position (Replace with actual position)

Date

A.Offeror Name (Company/Division):____________________
CAGE Code: ____________________
DUNS Number: ____________________

(NOTE: If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes. Refer to the "Organizational Structure Change History" you provided as part of your Past Performance Volume).

B.Program Title: ____________________
C.Contract Specifics:
1. Contracting Agency or Customer _____________________________________________
2. Contract Number__________________________________________________________
3. Contract Type __________________________
4. Period of Performance __________________________
5. Original Contract $ Value _________________ (Do not include unexercised options)
6. Current Contract $ Value _________________ (Do not include unexercised options)
7. If Amounts for 5 and 6 above are different, provide a brief description of the reason ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
D.Brief Description of Effort as __Prime or __Subcontractor

(Please indicate whether it was development and/or production, or other acquisition phase (or Service) and highlight portions considered most relevant to current acquisition)

E. Completion Date:

1. Original date:____________________
2. Current Schedule: ____________________
3. Estimate at Completion: ____________________
4. How Many Times Changed: ____________________
5. Primary Causes of Change: _______________________________________________________

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. Program Manager and/or Site Manager:

Name____________________
Office____________________
Address________________________________________
Telephone__________________
FAX Number_______________

2. Contracting Officer:

Name____________________
Office____________________
Address________________________________________
Telephone__________________
FAX Number_______________

3. Administrative Contracting Officer:

Name ____________________ Office ____________________ Address________________________________________

Telephone__________________
FAX Number_______________

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

H. For each of the applicable sub-factors under the Technical factor in Section M, illustrate how your experience on this program applies to that sub-factor.

I.Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting.
J.Identify whether a subcontracting plan was required by the contract you are submitting. If one was required, identify, in percentage terms, the planned versus achieved goals during contract performance. If goals were not met, please explain.
K.Describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. Also, estimate the percentage of the total proposed effort to be performed by this entity and whether this entity will be performing as the prime, subcontractor, or a corporate division related to the prime (define relationship).

L. Key Personnel: Offerors must clearly and concisely demonstrate key personnel performance for three (3) of your most recent and relevant contracts under which such key personnel performed the same role currently being proposed on the instant acquisition and this performance occurred during the past five (5) years from the issuance date of this solicitation. The Offeror must also indicate their contractual roles for both acquisitions and any supporting documents, which demonstrates the offerors’ ability to provide the same level of support for this effort. Indicate on the chart below Key Personnel for Cobra King, Gray Star, and the Mobile Sensors Management Office (MSMO).

Key Personnel
Cobra King
Gray Star
MSMO
PWS para Reference

Attachment 3 – Past Performance Information Sheet

FA7022-21-R-0002

File details come from the government source that posted it. Updated .