Attachment 3 - Past Project Form.doc

70RFP325QE3000018

ATTACHMENT 3

PAST PROJECT FORM

1. Name of Contractor

1a. Solicitation Number (i.e. the solicitation your firm is responding to)

2. Complete Name of Government Agency, Commercial Firm, or Other Organization for Which Effort Performed.

3. Complete Address of Entity Named in #2 Above

4. Contract Number or Other Reference

5. Date of Project Award

6a. Total Project Price (to include all options):

6b. Current Annual Estimated Price:

7. Period of Performance (to include all options)

8. Level of Security Clearance Required (If applicable) N/A (If applicable) Type/Level:

Completion of blocks 9, 10 and 11 is intended to be utilized to assess the rough order of magnitude performed under the contract. The Government reserves the right to utilize any and all information on the Past Project Form including but not limited to hours, dollars, number of posts, number of PSOs as well as the Past Performance Questionnaires and CPARS Assessments to determine magnitude.

9a. N/A

9b. N/A

12a. Technical Point of Contact (name, title, address, telephone no., and email address)

12b. Contracting or Purchasing Point of Contact (name, title, address, telephone no., and email address)

13. Geographic Location of Work (Country, State or Province, County, City)

14. Contractor Performance Assessment Reporting System (CPARS) Completion: CPARS is a web-enabled application that collects and manages contractor performance assessments. A CPAR report is required to be completed annually through the conclusion of the contract. Contractors may view their own data at https://www.cpars.gov/.

Contractor Complete the Following by Checking the Appropriate Box:

□ A “finalized” Contractor Performance Assessment Report IS resident in CPARS for this contract for the most recently completed performance period.

□ A “finalized” Contractor Performance Assessment Report IS NOT resident in CPARS for this contract for the most recently completed performance period.

15. Description of Contract Work. In order to establish the relevance of your project to the instant requirement, please describe the scope, magnitude and complexity of this work, comparing and contrasting it to that required under this solicitation. Additionally, describe any unique or unusual requirements of the contract, and performance problems or issues encountered under the performance of the contract. Include discussion of any previous or ongoing Department of Labor investigations of your firm for Service Contract Act or other labor related violations. For problems/issues noted, describe the method of resolution and/or corrective actions taken. Use a continuation sheet, if necessary.

16. Did this contract require the submission of a subcontracting plan? If so, describe the efforts being made to meet the subcontracting goals contained within the approved plan to include the name(s) of subcontractor(s) used, if any, and a description of the extent of work performed by the subcontractor(s).

August 2020