Attachment 5 Past Performance Data.pdf
PDF 493 KB Posted
- Attached to
- Transcription Support Services
- Solicitation number
- 15JPSS25R00000088
About this file
This document is a Past Performance Data form for a Transcription Support Services solicitation with the contract number 15JPSS25R00000088. The form is designed for offerors to provide detailed information about their previous contracts, including contract status, work location, contract type, and financial details. The form requires respondents to describe the relevance of their past work to the current solicitation, specifically focusing on Administrative Support Services, and mandates a three-page summary description of the contract work with specific formatting requirements (8½ x 11 inches, single-spaced, 11-point Times New Roman font). Additionally, the form includes sections inquiring about Small Business Subcontracting Plan compliance and requires attachment of the most recently submitted SF 294/295 reports.
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Text version
Source Selection Information - See FAR 2.101 and 3.104
ATTACHMENT 5 - 15JPSS25R00000088
Transcription Support Services
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 5 - 15JPSS25R00000088
Transcription Support Services
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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