ATTACHMENT 11 - Past Performance Information.docx
DOCX document 33 KB Posted
- Attached to
- 10th Logistics Readiness Squadron Services Federal contract opportunity
- Solicitation number
- FA700023R0013
About this file
This document is a template for providing past performance information related to the solicitation for 10th Logistics Readiness Squadron Services under solicitation number FA700023R0013 issued by the Department of the Air Force Headquarters Air Force Academy. The template requests information on relevant prior contracts and programs, including contract details such as value, period of performance, completion dates and changes, technical areas, key personnel, small business compliance, and work allocation. Offerors are to provide a separate completed template for each prior contract or program submitted for consideration, limiting both the number of submissions and the length of each response. Relevant technical experience and completion of similar services are prioritized for evaluation.
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FA700023R0013 – ATTACHMENT 11
PAST PERFORMANCE INFORMATION
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. Limit the number of citations submitted and the length of each submission to the limitations set forth in this solicitation.
| 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 other acquisition phase (or Service) 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__________________ | ||
| FAX Number_______________ |
2. Contracting Officer:
| Name | ____________________ | |
| Office | ____________________ | |
| Address________________________________________ | ||
| Telephone__________________ | ||
| FAX Number_______________ |
3. Administrative Contracting Officer:
Name ____________________ Office ____________________ Address________________________________________
| Telephone__________________ |
| FAX Number_______________ |
G. Address any technical (or other) area about this contract/program considered unique.
H. Identify which of the Assessment Areas described in Addendum FAR 52.212-2, Attachment 9, Table 3, Relevancy Complexity matrix illustrate how your experience on this program applies to that Assessment Area Comment by BETHANY, DAVID A CIV USAF AFMC USAFA/PK AFICC/KF: Should this be "Identify which of the Assessment Areas described in Addendum to FAR 52.212-2, Attach 9, Table 3 Relevancy Complexity Matrix illustrate how..." as the only technical is the "DOT truck phase-in"? Comment by ULMA, SUSAN F CIV USAF USAFA 10 CONS/PKB: Revised sentence. Comment by BETHANY, DAVID A CIV USAF AFMC USAFA/PK AFICC/KF: Change to "Assessment Area"? Comment by ULMA, SUSAN F CIV USAF USAFA 10 CONS/PKB: Changed to Assessment area.
I. Specify, by name, any key individual(s) who participated in this program and are proposed to support the instant acquisition. Also, indicate their contractual roles for both acquisitions.
J. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting.
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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