Atch4- Past Performance Information Sheet_MWD OCONUS.pdf

ATTACHMENT 4

PAST PERFORMANCE INFORMATION SHEET

Contract/Task Order Number:

Work Performed By:

Prime Team Member

Prime or Team Member Name:

Contract Title/Name:

Contract/Task Order Award Amount:

Period of Performance:

Start Date: DD/MM/YY End Date: DD/MM/YY

Did Prime perform 50% of the work?

Yes No Customer or Company Name:

Point of Contact (POC):

POC Phone Number:

POC Email Address:

Description of Work Performed (Refer to Note 1 & 2 below):

NOTE:

1. For each of the applicable subfactor under the technical factor in the Addendum to FAR 52.212-2, illustrate how your experience (work performed) on the past program applies to that subfactor.

2. 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).