ATTACHMENT 2 - REFERENCE INFORMATION SHEET - SUMMARY DATA TEMPLATE.pdf

ATTACHMENT 2 - REFERENCE INFORMATION SHEET

SUMMARY DATA

W81K04-26-R-A-011

In accordance with the Addendum to 52.212-1 Instructions to Offerors - Commercial Products and Commercial Services, Volume IV - Performance Risk Proposal (Past Performance) (Factor 3) may include no more than three (3) Performance Assessment Submissions (PAS). Each PAS shall meet the relevancy definition provided in the Addendum to 52.212-2, and performance must have occurred within the last three (3) years but not less than six (6) months of the solicitation date. The three (3) PAS may include work performed by the Prime Offeror and/ or Subcontractor(s), performing at least 25% of the services, stated in the Offeror's technical proposal.

Offeror: ________________________________________

Point of Contact:

Name: ________________________________________ Telephone: ________________________________________ Email Address: ________________________________________

Alternate Point of Contact:

Name: ________________________________________ Telephone: ________________________________________ Email Address: ________________________________________

In the table below, identify the contract references submitted for Past Performance evaluation.

Contract Number SAM UEI Number Performed Work As Method of Past Performance Submission

☐ Prime or ☐ Sub ☐ CPARS ☐ Questionnaire ☐ Prime or ☐ Sub ☐ CPARS ☐ Questionnaire ☐ Prime or ☐ Sub ☐ CPARS ☐ Questionnaire

Note 1: If the Offeror’s Contractor Performance Assessment Report (CPAR) for the contract(s) referenced is located in the CPARS, it is not necessary for a Past Performance Questionnaire to be submitted.

Note 2. Only three (3) PAS may be provided. Offeror’s shall not submit three (3) PAS as the Prime Offeror and three (3) additional PAS for any Subcontractor(s).

ATTACHMENT 2 - REFERENCE INFORMATION SHEET

SUMMARY DATA

W81K04-26-R-A-011

Subcontractor: ________________________________________

Point of Contact:

Name: ________________________________________ Telephone: ________________________________________ Email Address: ________________________________________

Alternate Point of Contact:

Name: ________________________________________ Telephone: ________________________________________ Email Address: ________________________________________

In the table below, identify the contract references submitted for Past Performance evaluation.

Contract Number SAM UEI Number Performed Work As Method of Past Performance Submission

☐ Prime or ☐ Sub ☐ CPARS ☐ Questionnaire ☐ Prime or ☐ Sub ☐ CPARS ☐ Questionnaire ☐ Prime or ☐ Sub ☐ CPARS ☐ Questionnaire

Note 3: If the Subcontractor’s CPAR for the contract(s) referenced is located in the CPARS, it is not necessary for a Past Performance Questionnaire to be submitted.

Note 4: Only three (3) PAS may be provided. Offeror’s shall not submit three (3) PAS as the Prime Offeror and three (3) additional PAS for any Subcontractor(s).