Att 6 App A Past Perf Info.docx

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Attached to
Watercraft Targets IDIQ
Solicitation number
FA282325R0004
Issued by

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This is a past performance information template (Appendix A) for solicitation FA2823-25-R-0004. The template requires offerors to provide detailed contract performance information including company details (name, CAGE code, DUNS number), program title, and specific contract information such as contracting agency, contract number, type, period of performance, and original/current contract values. Offerors must include points of contact (Program Manager, Contracting Officer, Administrative Contracting Officer), describe technical uniqueness, demonstrate experience related to the Technical sub-factor Management Plan, and provide information about small business utilization and subcontracting plans. The template is designed to collect standardized past performance data to evaluate offerors' relevant experience and performance history.

This template appears to be part of a larger solicitation for watercraft targets under an IDIQ contract, though the template itself does not contain specific requirements for the products or services - it is purely a form for capturing past performance information from offerors.

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APPENDIX A PAST PERFORMANCE INFORMATION

FA2823-25-R-0004

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.

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 commercial items, 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______________________
Email Address_ _________________________________

2. Contracting Officer:

Name_________________________________________
Office____________________
Address________________________________________
Telephone______________________
Email Address___________________________________

3. Administrative Contracting Officer:

Name ________________________________________ Office ________________________________________ Address________________________________________

Telephone______________________
Email Address __________________________________

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

H. For each of the applicable elements in the Technical sub-factor Management Plan in FAR 52.212-1, 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).

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