Attachment 2_Past Performance Information.pdf
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- Solicitation number
- FA520522QB022
About this file
This document contains a solicitation for a commercial product and statement of work. The Air Force Pacific is seeking a firm-fixed-price quotation for a brand name only CT trailer with a Toshiba Cannon Aquilion 64/128 VeloCT system to meet the minimum specifications described. Responses are due by the date specified in the attached request for quotation and must include evidence of the offeror's capability to fulfill the requirement as it relates to the technical evaluation criteria. Questions regarding this solicitation must be submitted in writing by the specified date and responses will be provided in an amendment to the solicitation. Late responses will not be accepted.
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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:____________________
B. Program Title:____________________
C. Contract Specifics:
1. Contracting Agency or Customer _____________________________________________
2. Contract Number__________________________________________________________
3. Contract Type __________________________
4. Period of Performance __________________________
5. Contract Dollar Value _________________ (Do not include unexercised options)
D. 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__________________
E-mail Address_______________
2. Contracting Officer:
Name ____________________
Office ____________________
Address________________________________________
E-mail Address _______________
3. Administrative Contracting Officer:
Name ____________________
Office ____________________
Address________________________________________
E-mail Address _______________
E. Provide comments regarding compliance with contract terms and conditions.
F. Provide comments regarding any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions.
G. Brief service description including rationale supporting your assertion of relevance and identify aspects (scope, magnitude of effort, and complexity) of the contracts deemed relevant and how they relate to the proposed effort.
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