Att 4 - Past Performance Information.pdf
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- Attached to
- Foreign Weapons, Body Armor and Ammo
- Solicitation number
- Not on record
- Issued by
-
United States Special Operations Command
About this file
This is a Past Performance Information form template (Attachment 4 to solicitation H9240326RE001) used to collect historical contract performance data from offerors responding to a federal procurement.
The form requires offerors to provide comprehensive details for each relevant past contract or program, including: company identification information (name, CAGE code, DUNS number); program title and contracting agency; contract number, type, and period of performance; original and current contract values with explanation of any variance; description of effort as prime or subcontractor; completion dates and schedule changes with primary causes; and three primary customer points of contact (Program/Site Manager, Contracting Officer, and Administrative Contracting Officer) with current office addresses and telephone numbers. The form also requires detailed narrative responses addressing technical and unique areas of the contract; how past experience applies to applicable technical sub-factors in the current acquisition; identification of key personnel from the prior contract proposed for the current effort; compliance with small business utilization requirements under FAR 52.219-8; subcontracting plan requirements and achievement of planned versus actual goals; and a description of the work scope to be performed by the reporting entity with percentage of total effort and organizational relationship (prime, subcontractor, or corporate division). All submissions must comply with length and citation limitations established in the solicitation's Instructions to Offerors for Commercial Items.
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Text version
PAST PERFORMANCE INFORMATION
H9240326RE001
Attachment 4
Past Performance Information
Provide the information requested in this form for each contract/program 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 paragraph m(4)C(iv), of Addendum to FAR
52.212-1, Instructions to Offerors-Commercial Items, of this solicitation.
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: ________ _
H9240326RE001
Attachment 4
Past Performance Information
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 _______ _
2. Contracting Officer:
Name
Office
Address
Telephone _______ _
3. Administrative Contracting Officer:
Name
Office
Address
Telephone _______ _
H9240326RE001
Attachment 4
Past Performance Information
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. 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.
J. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small
Business Concerns, on the contract you are submitting.
K. 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.
L. 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).
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