Att.J-12 Past Performance Information Form.pdf

PDF 232 KB Posted

Attached to
Screening Information Request (SIR) FAA's AMA- 400 Technical Instructional Support Services Contract
Solicitation number
6973GH-25-R-00020
Issued by

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This document is the Att.J-12: Past Performance Experience Information Form, which is a part of the Screening Information Request (SIR) for the FAA's AMA-400 Technical Instructional Support Services Contract.

The SIR is for a Hybrid Indefinite Delivery/Indefinite Quantity (ID/IQ) contract with Firm Fixed Price, Labor Hour, and Cost Reimbursement contract line items. The contract will provide instructional services for the FAA's Technical Operations Training Division at the Mike Monroney Aeronautical Center in Oklahoma. The contract term is for 5 years, including a 1-year base period and four 1-year option periods. This acquisition is set aside for 8(a) certified small businesses. All questions are due by 4:00 pm CST on November 26, 2024. The principal NAICS code is 611512 - Flight Training, with a size standard of $34.0M.

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Att.J-12: PAST PERFORMANCE EXPERIENCE INFORMATION FORM

PART I (TO BE COMPLETED BY OFFEROR REQUESTING THE REFERENCE)

Instruction: Offeror must complete this form for each (current or former) effort that is being submitted as Past Performance. A copy of each completed form, Att.J-12, must be included in the Past Performance Volume of your proposal. Att.J-13 must be completed and sent to the Rater/Customer to be completed. The Prime Offeror must provide this form to (and collect from) any Subcontractor submitting experience for evaluation.

Each prime and subcontractor form must be included in Past Performance Volume at the time of proposal submission.

A. OFFEROR INFORMATION – Check One: PRIME SUBCONTRACTOR

B. CONTRACT IDENTIFICATION

Project Title:

Contract Number:

Agency/Customer:

Agency/Customer POC Name:

Agency/Customer POC Email Address:

Contract/Order/Subcontract/Other:

Contract Type:

Contract Purpose (e.g., Service, Supply, Development/First Article, and R&D)?

Contract Award Date:

Period of Performance:

Total Contract Value:

Value of Offeror’s Share:

Description:

Competitive Award? Yes No

PART II

(TO BE COMPLETED BY RATER/

CUSTOMER)

Please See Att.J-13-Past Performance Questionnaire

SIR 6973GH-25-R-00020

Offeror Name:

Offeror Address:

Offeror Name:
Offeror Address:
AgencyCustomer POC Email Address:
ContractOrderSubcontractOther 1:
Project Title:
Contract Number:
Agency/Customer:
Agency/Customer POC Name:
Check Box4: Off
Check Box5: Off
Group6: Off
Group6-: Off
Contract Type:
Contract Purpose:
Contract Award Date:
Prd of Performance:
Contract value:
Offeror's share:

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