Attachment 1-Past Performance Contract Data.docx

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Attached to
Aircraft Wiring System Repair Tool Sets Federal contract opportunity
Solicitation number
N6833522R0049
Issued by
Department of the Navy Naval Air Systems Command Naval Air Warfare Center

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Attachment 1 – Past Performance Contract Data Offeror Name:

1
Entity Name
2
Contract Reference
3
Title of Contract
4
Contract Number
5
Contract Type
6
Relevant Delivery/Task Order Numbers (if applicable)
7
Subcontract Number/PO Number
8
Procuring agency
9
Description of product or service
10
Period of performance – Start Date

Period of performance – End Date

11
CAGE Code (if not the same as Offeror, explain)
12
Dollar value of contract (Total)

Dollar value of contract (Annualized)

Brief Work Description and/or Program Responsibility for this past contract. <Note to Drafter: List the attributes to be considered in relation to scope, magnitude, and complexity>

a. PWS/SOW paragraphs from contract reference associated with Attribute a

b. PWS/SOW paragraphs from contract reference associated with Attribute b

n. PWS/SOW paragraphs from contract reference associated with Attribute c

14
Date of last completed CPARs
15
Date past performance questionnaires were sent
16
Points of Contact who can validate performance on the past performance contract, specific delivery order or task order number referenced above.
Gov't PCO or Commercial Purchasing Agent
Name:

Phone:

Email:

Gov't ACO
Name:

Phone:

Email:

Gov't PM or Commercial PM
Name:

Phone:

Email:

Other:
Name:

Title:

Phone:

Email:

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