Attachment 0010_Past_Perf.pdf

Section J Attachment 0010

PAST PERFORMANCE INFORMATION SHEET

8 December 2021

Section J, Attachment 2.6: Past Performance Information Sheet

When filled in this document is Source Selection Sensitive Information IAW FAR 2.101 and 3.104

The Offeror shall submit Past Performance Information on five contracts (as a prime or subcontractor) relevant to the efforts required by this solicitation. The Government may choose to investigate contracts prior to the past five years for the purpose of the evaluation.

Contracts terminated for any reason in whole or in part during the past five years, to include those currently in process of such termination are considered relevant. The Offeror shall provide Past Performance Information for those contracts.

A. Company

1. Name (Company/Division/Team Member): ________________________

2. CAGE: ____________________________________________________

3. DUNS: ____________________________________________________

4. Contracting Activities: ________________________________________

5. Current Address: _____________________________________________

6. Telephone and Email: _________________________________________

B. Program Title: ___________________________________________

C. Contract Specifics:

1. Contract Number: _____________________________________

2. Contract Type: ________________________________________

3. Period of Performance: _________________________________

4. Contract $ Value (award): _______________________________

Contract $ Value (completion): ___________________________

5. Agency Supported: _____________________________________

6. Scope of Participation: (Prime, 1st Tier Sub, 2nd Tier Sub, Other)

D. Period of Performance:

1. Original Date: ________________________________________________

2. Current Scheduled Date (if applicable): ____________________________

3. How Many Times Changed: _____________________________________

4. Primary Cause of Change: _______________________________________

E. Primary Points of Contact: (Please provide current information on all individuals)

1. Customer Program Manager: Name: _____________________________

(If scope of participation was as Address: ___________________________ a subcontractor, provide Phone: ____________________________

Prime Contractor’s PM or Email: ____________________________ equivalent employee’s information)

2. Contracting Officer’s Representative: Name: ________________________

(If scope of participation was as Address: ______________________ a subcontractor, provide Prime Phone: _______________________

Contractor’s PM or equivalent Email: ________________________ employee’s information)

3. Procuring Contracting Officer (PCO): Name: _______________________

Office: _______________________

Address: ______________________

Phone: _______________________

Email: _______________________

4. Administrative Contracting Officer (ACO): Name: ____________________

(If DoD) Office: ____________________

Address:___________________

Phone:_____________________

Email: _____________________

F. Briefly describe the effort. Include the objective achieved and how the effort is similar to the requirements of this solicitation.

G. Address your execution of the program in terms of cost, schedule and performance.

H. Describe the work performed and your business processes and procedures employed relative to areas described in L.8.0, Volume II-Technical.

I. Address any technical (or other) area about this program considered unique.

J. Address issues of complexity relative to the cited program.

K. Identify any significant problems encountered on the program and demonstrated corrective action taken.