Attachment 7 - Past Performance Fact Sheet.pdf
PDF 275 KB Posted
- Attached to
- Aircraft Hangar Fall Arrest System Maintenance, Certification & Repair Services on Andersen AFB, Guam
- Solicitation number
- FA524026Q0021
About this file
This is a Past Performance Fact Sheet template for the Aircraft Hangar Fall Arrest System Maintenance, Certification & Repair Services solicitation (FA524026Q0021). The form is designated as Controlled Unclassified Information and Source Selection Information per FAR 2.101 and 3.104.
The document is a blank template to be completed by offerors and contains three sections. Section 1 requires Contract Identification information including contractor name and CAGE code, contract number, contract type, program title and description, period of performance (both original and current schedules with any schedule changes explained), contract dollar values (original and current, with explanations for any differences), description of work performed, project relevance, whether the contract was competitively awarded, and the contractor's role (prime, subcontractor, or key personnel). Section 2 requires Customer or Agency Identification including the customer/agency name, description if applicable, and geographic scope of services. Section 3 requires Respondent Identification including the respondent's name, title, contact information, position, length of time worked on the contract with description of responsibilities, and other suggested points of contact. The form concludes with a signature line for the offeror. The template provides no specific evaluation criteria, response deadlines, or other solicitation details beyond the structural framework for documenting past performance on relevant contracts.
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FA524026Q0021 – Aircraft Hangar Fall Arrest System Maintenance, Certification & Repair Services Attachment 7: Past Performance Fact Sheet
Controlled Unclassified Information When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.
Controlled Unclassified Information Page 1 of 2
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 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836
FA524026Q0021 – Aircraft Hangar Fall Arrest System Maintenance, Certification & Repair Services Attachment 7: Past Performance Fact Sheet
Controlled Unclassified Information When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.
Controlled Unclassified Information Page 2 of 2
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 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836
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