Attachment 21 - Previous Contracting Efforts.docx
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- Attached to
- Synthetic Signature Guidance (SSG) Trainers
- Solicitation number
- N0016722R0004
About this file
This document contains a past performance reference form for Attachment 21 of solicitation N00167-22-R-0004 issued by the Naval Sea Systems Command. The form requests information on a previous contracting effort, including the performing contractor, customer name, contract number, period of performance, points of contact, contract type and pricing details, subcontracts, key personnel, and a narrative describing the work performed, its relevance to the current solicitation, and any significant achievements or challenges encountered. Offerors are to complete this form for each relevant contract or task order identified in the solicitation and use it to provide details of past performance on similar prior efforts for consideration in contract award.
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N00167-22-R-0004 N00167-22-R-0004
Attachment 21 Past Performance Reference/Previous Contracting Effort Narrative
Past Performance Data (Complete the blocks in this form for each contract/task order identified under Section L, Paragraph 4.2.1 of this solicitation)
Performing Contractor/Division:
DUNS Number/CAGE Code:
Customer/Program Name:
Contract Number/Task Order Number:
Period of Performance:
Customer Points of Contact (POCs) (Provide the name, address, telephone number, and e-mail address for one of the POCs identified below. More than one is permitted, but only one is required.)
Program Manager (PM):
Contracting Officer (KO):
Administrative Contracting Officer (ACO):
Contracting Officer’s Technical Representative (COTR) or Contracting Officer’s Representative (COR):
Task Monitor:
Contract Information
Contract Type: Fixed-Price; Labor Hour or Time-and-Materials; Cost-Reimbursement (CPFF, CPAF, CPIF, etc.)
| If the contract/task order has been completed, provide the program cost/price: |
| Dollar Amount at Award: |
Dollar Amount at Completion:
If the contract has not been completed:
(Do not include unexercised options) Current Cost/Price:
Current Estimate to Complete:
List of key subcontracts and the estimated portion and description of work performed by or as subcontractors:
List of proposed key personnel who worked on this contract/task order, if any (identify role/responsibility on past effort and on current proposed effort):
Using the space below, provide the following narrative information:
· Describe the work products and/or services delivered to the customer under this past contract/task order.
· Describe the relevance of the past contract/task order in comparison to the requirements described in Solicitation N00167-22-R-0004, with respect to scope, period of performance, and complexity (e.g. task, dollar value, contract type, labor mix).
· Describe significant achievements, challenges, or obstacles that were encountered during contract/task order performance and the measures taken to overcome them.
· Provide performance criteria/measures that were applied in evaluating performance, for the contract/task order identified. The performance criteria/measures should be specific and show the target performance levels that are/were set forth under the contract/task order as well as the level of performance achieved, for the most recent period of performance of the contract/task order. Describe the tools and/or methods used to collect metrics data and the frequency of data collection and reporting.
SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104
SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104
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