ATTACHMENT 3 - REFERENCE INFORMATION SHEET - CONTRACT SPECIFIC DATA TEMPLATE (1).pdf

ATTACHMENT 3 - REFERENCE INFORMATION SHEET

CONTRACT SPECIFIC DATA

W81K04-26-R-A-011

(Reproduce This Form For Each Contract Reference Cited On Attachment 2)

1. Offeror: ________________________________________

2. Reference Contract, Order, or other Control Number: ________________________

3. Contract Title/ Information: _____________________________________________

a. Date of Contract: _________________

b. Date Work Began: _________________

c. Date Work Was Completed: _________________

d. Contract Type: ____________________________

e. Initial Contract Amount (Total Ceiling): _________________

f. Final (or Current) Contract Amount: _________________

(Total Ceiling) (if different from Initial): _________________

4. Has a Performance Risk Assessment Questionnaire Been Requested from the Technical and/or Contracting Point of Contact for this Reference. ☐ Yes ☐ No

Date of Request: _________________

5. Technical Point of Contact for this Reference:

Name: ____________________________________________ Telephone #: ____________________________________________ Email: ____________________________________________

6. Contracting Point of Contact for this Reference:

Name: ____________________________________________ Telephone #: ____________________________________________ Email: ____________________________________________

CONTRACT SPECIFIC DATA

W81K04-26-R-A-011

7. Current Status of Contract (Choose One):

☐ Work continuing, on schedule ☐ Work continuing, behind schedule ☐ Work completed, no further action pending or underway ☐ Work completed, routine administrative ☐ Work completed, claim negotiations pending or underway ☐ Work completed, litigation pending or underway ☐ Terminated for Convenience ☐ Terminated for Default ☐ Other (explain)

Provide contract specific technical capabilities data required in FAR Provision 52.212-1 for the evaluation criteria identified in FAR Provision 52.212-2.

CONTRACT SPECIFIC DATA

W81K04-26-R-A-011

Continuation: Contract specific technical capabilities data required in FAR Provision 52.212-1 for the evaluation criteria identified in FAR Provision 52.212-2.