Attachment 9 - Past Performance Fact Sheet.docx
DOCX document 41 KB Posted
- Attached to
- Repair HVAC in PAX Terminal B3409
- Solicitation number
- FA527025R0006
About this file
This is a Past Performance Fact Sheet template to be completed by offerors bidding on a design-build HVAC repair contract at Kadena Air Base in Okinawa, Japan. The template requires contractors to provide detailed information about relevant previous contracts including contract identification details, customer/agency information, and respondent contact information.
The fact sheet relates to solicitation FA527025R0006, a Firm-Fixed-Price contract valued between $500,000 to $1,000,000 (or Yen equivalent) for the Department of the Air Force Pacific Air Forces. The template requires offerors to document contract numbers, types, dollar values, periods of performance, program descriptions, and explanations of project relevance. It also asks contractors to specify their role (prime, sub, or key personnel), whether the referenced contract was competitively awarded, and provide points of contact for performance verification. When completed, the document is considered Source Selection Information under FAR regulations.
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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): Yen
2. Current maximum contract dollar value (assuming all options exercised): Yen
3. Reasons for difference between original and current contract dollar value (if applicable):
I. Description of work performed, including where it was 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
File details come from the government source that posted it. Updated .