Attachment 5 1305M221QNMAN0023. Past Performance Information Form.pdf

SOLICITATION: 1305M221QNMAN0023

ATTACHMENT 5

1. Refer to Addendum to FAR 52.212-1 Instructions to Quoters – Commercial Items of Solicitation 1305M221QNMAN0023. The Quoter shall complete this form in its entirety for each contract identified in the Quoter’s Volume II – Past Performance.

2. Check one of the following statements:

CPARS - The referenced Contract Number has a completed Contractor Performance Assessment Reporting System (CPARS) evaluation.

Past Performance Questionnaire (Fill-in Data under item 3 prior to sending to Agency/Client POC)

The Point of Contact or Project Manager associated with the work completed under the referenced Contract Number has been sent this form and the Past Performance Questionnaire to complete and return to Contract Specialist, Jonathan Sayoc, prior to the closing date of the solicitation: 2:00PM ET on January 13, 2021.

EMAIL: jonathan.sayoc@noaa.gov

3. Provide the following data in its entirety.

a. Contract Number and Client point of contact (including 2 points of contact with telephone numbers)

POC #1: /Phone: /Email: _______________________

POC #2: /Phone: /Email: _______________________

b. Name of the Government Agency or Private Firm for which the contract was performed. _________________

c. Dollar Value of the contract (Original: $ and Final: $ )

d. Type of service performed and whether Prime or Subcontractor: Type: , Prime or Sub:

e. Identify modification(s) performed on small and/or medium, twin engine turboprop aircraft, which has a pressurized cabin, and identify what, if any type STCs, were required (if necessary, provide information on a separate sheet).

f. Contract performance period at the start of the contract: Start: End:

g. Actual performance dates upon completion: Begun: Completed:

h. Contract Type:

i. Percentage of growth in contract price (Additional work divided by award price) and the extent of Subcontracting: Growth Percentage:_________ Extent of Subcontracting: __

PAST PERFORMANCE INFORMATION FORM

AGENCY OR CLIENT:

NOTE: It is the responsibility of the Offeror to follow‐up and to encourage references to submit the questionnaire prior to the solicitation closing date of: 2:00PM ET on January 13, 2021.

CONTRACT NUMBER:

Form of