Att P1 - ASI TPMS Past Performance Information Form.pdf

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Attached to
NAWCAD (WOLF) Airborne Systems Integration (ASI ) Division Technical/Project Management Support (TPMS)
Solicitation number
N0042127R1008
Issued by

About this file

This is a Past Performance Information Form template (Attachment P1) required for solicitation N00421-27-R-1008, designated as source selection information under FAR 2.101, 3.104, and 42.15. The form is a blank template used to collect historical performance data from offerors in response to a federal contract opportunity.

The form captures essential contract and performance metrics including offeror identification (name, division, CAGE code, UEI), contract details (contract number, PSC code, contract type, NAICS code), project information (title, location of work), and customer/agency details (name, location, program manager, and contracting point of contact with contact information). A structured table requests Period of Performance dates (start and end), Total Contract Value, Total Invoiced amount, and Level of Effort for the base contract and five optional periods. Additionally, the form includes two narrative sections requiring offerors to provide a Contract Effort Description and Demonstrated Systemic Improvement Information that identifies performance issues, corrective actions taken, and techniques or tools employed to resolve problems. This template is used during the source selection process to evaluate offerors' relevant past performance on similar federal contracts.

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SOURCE SELECTION INFORMATION – SEE FAR 2.101, 3.104 AND 42.15

PAST PERFORMANCE INFORMATION FORM

Role on this Solicitation: Offeror Name:

Division Name:

CAGE Code:

Contract Number:

PSC:

Project Title:

Location of Work:

Agency/Customer Name and Location:

Agency/Customer Program Manager Name:

Title:

Email Address:

Phone Number:

Agency/Customer Contracting Point of Contact Name:

Title:

Email Address:

Phone Number:

Contract Type:

Period of Performance

START

Period of Performance

END

Base Option 1 Option 2 Option 3 Option 4 Option 5 Total Contract Value

UEI:

Task/Delivery Order: NAICS:

TOTAL CONTRACT

VALUE FOR PoP

TOTAL INVOICED

FOR PoP

LEVEL OF EFFORT

FOR PoP

N00421-27-R-1008 Attachment P1

SOURCE SELECTION INFORMATION - SEE FAR 2.101, 3.104 AND 42.15

Contract Effort Description:

Enter text here:

SOURCE SELECTION INFORMATION – SEE FAR 2.101, 3.104 AND 42.15

Demonstrated Systemic Improvement Information: Identify those demonstrated improvement actions taken to resolve any performance issues or problems. Describe the techniques, elements and tools used to correct issues or problems and, if applicable, how these techniques, elements and tools will be employed during performance of this requirement.

Enter text here:

Select One: [Select One]
Offeror Name:
DUNS Number:
CAGE Code:
Division Name:
TO/DO #:
Contract #:
NAICS:
PSC:
Project Title:
Location of Work:
Agency/Customer Name:
Title1:
Name1:
Email Address1:
Phone Number1:
Name2:
Title2:
Email Address2:
Phone Number2:
PoP Start 1:
PoP End 1:
PoP Start 3:
PoP Start 2:
Select One1: [Select One]
PoP End 2:
TCV2:
TI2:
PoP End 3:
TCV3:
TI3:
LOE3:
LOE4:
LOE5:
LOE6:
LOE2:
LOE1:
Total Invoiced 1:
Total Contract Value 1:
TI4:
TI5:
TI6:
TCV4:
TCV5:
TVC6:
Total Contract Value:
PoP End 4:
PoP End 5:
PoP End 6:
PoP Start 4:
PoP Start 5:
PoP Start 6:
Contract Effort Description:
Demonstrated Systemic:

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