Attachment 6 - Volume III Past Performance Information.doc

ATTACHMENT 4

HDEC08-20-R-0013

VOLUME III

PAST PERFORMANCE INFORMATION

Offerors are required to submit their past performance information in accordance with provision 52.215-4509, “Proposal Submission,” paragraph (d), located in Section L of the solicitation.

Volume III consists of the following documents:

1. Format for submission of Government References (federal/state/local).

2. Sample letter for non-Government Client References for release of information to the Government.

PAST PERFORMANCE DATA

(Offeror Name) Solicitation HDEC0820R0013 Customer Name: __________________________________________________

Address:

Telephone:________________________ Fax: ___________________________

POC/Contracting Officer:________________ Contract #:__________________ POC/Contracting Officer E-Mail:______________________________________

Description of Service/Product (Include sufficient details to indicate the variety of tasks, standard of care, and degree of tolerance permitted):

Start Date:_____________________Completion Date:_________________

Place of Performance:___________________________________________

Total Contract Value:____________________________________________

Percentage of Contract Value Subcontracted:_______________________

Number of Subcontractors: ______________________________________

Equipment provided by (delete one): Your Company Customer

Supplies provided by (delete one): Your Company Customer

Training provided by (delete one): Your Company Customer

Customer Point of Contact Other than Contracting Officer (inspector, quality assurance evaluator, commissary officer):

Name: ______________________________________________________

Title: _______________________________________________________

Address:

E-Mail:______________________________________________________

Telephone:______________________ Fax: ________________________

Problems Encountered and Corrective Actions Taken (Note: Do not provide a general assessment of your performance):

(Date)

(Customer Company Name and Address) Dear (Customer Company Representative), We are currently responding to Defense Commissary Agency (DeCA) request for proposals for various shelf stocking and custodial services. DeCA is placing increased emphasis on past performance as a source selection factor and therefore are requiring us to identify and notify our clients. We have identified Mr./Ms. (customer company point of contact name) of your organization as the point of contract based on their knowledge of our work.

In the event DeCA contacts you for information on work we have performed, you are hereby authorized to respond to their inquiries. Your cooperation is appreciated. If you have any questions, please contact (offeror’s point of contact and phone number.)

Sincerely, (Authorized Offeror

Representative Signature) (Note: Replace italicized and underlined areas with required information and delete this note before sending.)

PAGE