Attachment 6 - Past Performance Fact Sheet.docx
DOCX document 30 KB Posted
- Attached to
- Replace In-Pavement Approach Lighting System at Andersen AFB, Guam Federal contract opportunity
- Solicitation number
- FA524022R0008
About this file
This solicitation requests proposals to replace an in-pavement approach lighting system at Andersen Air Force Base in Guam. The contractor shall remove the existing lights flush mounted in the runway pavement, outer rings, adapters, underground cables, ground wires, splices and isolation transformers. The new system must be complete, operational and energy efficient in compliance with environmental requirements.
The opportunity is set aside for Historically Underutilized Business Zone small businesses. The contract type is firm-fixed price. The period of performance is 240 calendar days. Site visits are scheduled for April 26, 2022 with proposals due through the Procurement Integrated Enterprise Environment by the deadline. The estimated value is between $1-5 million. Questions are due by May 3, 2022 with responses provided via amendment. The Department of the Air Force Pacific Air Forces is the issuing agency.
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Text version
Controlled Unclassified Information When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.
Section L Attachment: Past Performance Fact Sheet
TO BE COMPLETED BY OFFEROR
Section 1: Contract Identification
A. Contractor (Company/Division):
B. Contractor Cage Code:
C. Contract Number:
D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):
E. Program Title:
F. Brief Program Description:
G. Period of Performance
1. Original Schedule (assuming all options exercised):
Beginning Date _________ through ____________
2. Current Schedule (assuming all options exercised):
Beginning Date _________ through ____________
3. Reason for difference (if applicable):
H. Contract Dollar Value
1. Original maximum contract dollar value (assuming all options exercised): $
2. Current maximum contract dollar value (assuming all options exercised): $
3. Reasons for difference between original and current contract dollar value (if applicable):
I. Description of work performed:
J. How is this project relevant?
K. Was this a competitively awarded contract? ☐ Yes ☐ No
L. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel
Section 2: Customer or Agency Identification
A. Customer or agency name:
B. Customer or agency description (if applicable):
C. Geographic description of services under this contract (i.e., local, nationwide, worldwide, other Commands):
Section 3: Respondent Identification
A. Respondent’s name:
B. Respondent’s title:
C. Respondent’s phone number / fax number / e-mail address:
D. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):
E. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:
F. Other suggested points of contact:
Signature of Offeror
Controlled Unclassified Information Page 1 of 2
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