Attachment 3 Past Performance Data.pdf
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- Attached to
- Chapter 7 Audits
- Solicitation number
- 15JPSS25R00000087
About this file
This document is a Past Performance Data form (Attachment 3) for a federal contract solicitation with the reference number 15JPSS25R00000087. The form is designed for offerors to provide detailed information about their previous contract work, specifically focusing on administrative support services. The form requires comprehensive details including contract status, location of work, contract type, financial information, and points of contact.
The form instructs offerors to provide a three-page summary description of their contract work, adhering to specific formatting requirements (8½ x 11 inches, single-spaced, 11-point Times New Roman font, 1-inch margins). Offerors must describe the nature and scope of their work, its relevance to the current solicitation's Statement of Work (SOW), and detail any problems encountered and corrective actions taken. Additionally, the form includes sections about Small Business Subcontracting Plans, requiring offerors to indicate whether their previous contracts had such plans and if they submitted required reports (SF 294/295).
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Text version
Source Selection Information - See FAR 2.101 and 3.104
ATTACHMENT 3 - 15JPSS25R00000087
Chapter 7 Audits
PAST PERFORMANCE DATA
(Note: Offerors must use this form, and are not to change the spatial structure of this form, i.e. borders, block size, etc.)
1. Complete Name of Reference (Government agency, commercial firm, or other organization)
2. Complete Address of Reference
3. Contract Number or other control number 4. Date of contract
5. Date work was begun 6. Date work was completed
7. Contract type, initial contract price, estimated cost and fee, or target cost and profit or fee
8. Final amount invoiced or amount invoiced to date
9a. Reference/Technical point of contact (name, title, address, telephone no. and email address)
9b. Reference/Contracting point of contact (name, title, address, telephone no. and email address)
10. Location of work (country, state or province, county, city)
11. Current status of contract (choose one):
[ ] Ongoing [ ] Complete [ ] Terminated for Convenience [ ] Terminated for Default [ ] Other (explain)
12. Provide brief information describing the contract and the relevancy of the effort to be performed in accordance with the Statement of Work (SOW) and requirements of the solicitation. Provide an estimated % of relevancy of the referenced contract to the requirements set forth in this solicitation. Relevance shall address Administrative Support Services.
Relevance can be discussed in further detail on the attached summary description as set forth in block 14 below.
Source Selection Information - See FAR 2.101 and 3.104
ATTACHMENT 3 - 15JPSS25R00000087
Chapter 7 Audits
13a. Did this contract require a Small Business Subcontracting Plan pursuant to FAR 52.219-9? Yes ____, No_____.
13b. If “Yes” to 13a, have you regularly submitted SF 294/295 reports on time? Yes ____, No_____.
13c. Attach a copy of your most recently submitted SF 294/295.
14. Provide a summary description of contract work, not to exceed three (3) pages in length. Each page shall be 8 ½ x 11 inches, single-spaced, no less than 11-point font Times New Roman, with one (1) inch margin requirements. Bolding, underlining, and italics may be used to identify topic demarcations or points of emphasis. Graphic presentations, including tables, though not subject to the same font size and spacing requirements, shall have spacing and text that is easily readable.
Describe the nature and scope of work, its relevancy to this requirement’s statement of work (SOW), include the SOW section(s), and a description of any problems encountered and your corrective actions. Attach the explanation to this form.
| 1 Complete Name of Reference Government agency commercial firm or other organization: |
| 2 Complete Address of Reference: |
| 3 Contract Number or other control number: |
| 4 Date of contract: |
| 5 Date work was begun: |
| 6 Date work was completed: |
| 7 Contract type initial contract price estimated cost and fee or target cost and profit or fee: |
| 8 Final amount invoiced or amount invoiced to date: |
| 9a ReferenceTechnical point of contact name title address telephone no and email address: |
| 9b ReferenceContracting point of contact name title address telephone no and email address: |
| 10 Location of work country state or province county city: |
| 11 Current status of contract choose one Ongoing Complete Terminated for Convenience Terminated for Default Other explain: |
| 12 Provide brief information describing the contract and the relevancy of the effort to be performed in accordance with the Performance Work Statement PWS and requirements of the solicitation Provide an estimated of relevancy of the referenced contract to the requirements set forth in this solicitation Relevance shall address Industrial Hygiene and Safety Support Services Relevance can be discussed in further detail on the attached summary description as set forth in block 14 below: |
| 14 Provide a summary description of contract work not to exceed three 3 pages in length Each page shall be 8 ½ x 11 inches singlespaced no less than 11point font Times New Roman with one 1 inch margin requirements Bolding underlining and italics may be used to identify topic demarcations or points of emphasis Graphic presentations including tables though not subject to the same font size and spacing requirements shall have spacing and text that is easily readable Describe the nature and scope of work its relevancy to this requirements performance work statement PWS include the PWS sections and a description of any problems encountered and your corrective actions Attach the explanation to this form: |
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