Attachment 9- Past Performance References.pdf

(WHEN COMPLETED)

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104

(WHEN COMPLETED)

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104

Attachment 9: Past Performance References

1 Contract Number 2 Contractor's or Subcontractor’s

Name 3 Contractor's or Subcontractor’s

CAGE Code 4 Contractor's or Subcontractor’s

DUNS Number 5 Contract's NAICS Code 6 Contractor's Role for above contract (Prime or Subcontractor) 7 Government Requiring Activity /

Customer Agency 8 Award Date 9 Final (actual) or projected final (if ongoing) start and end dates of the period of performance, including option periods

10 Description of the type of Supplies and/or Services or deliverables provided under this contract and explanation of how the contract reference is relevant to the requirement of this RFQ.

11 Schedule/Timeliness; Advise if services were provided on schedule and administrative requirements, such as report submission and invoicing, were completed in a timely manner.

12 Cost Control (Not applicable to firm fixed price contracts); Description of effectiveness in forecasting, managing, and controlling cost.

Explanation must be provided for any cost growth, if applicable.

13 Business Relations with customer;

Example: Provide a description of your firm’s commitment to customer satisfaction and/or cooperative behavior to overcome obstacles.

ATTACHMENT 9 Page 1 of 2

(WHEN COMPLETED)

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104

(WHEN COMPLETED)

FOR OFFICIAL USE ONLY

SOURCE SELECTION INFORMATION – SEE FAR 2.101 and 3.104

14 Description of management of personnel with regard to performance in selecting, retaining, and replacing personnel when necessary.

15 Utilization of Small Business (Only applicable to Large Business Contractors); If applicable, advise if your firm met the small business subcontracting goals contained in the contract and whether payments to small businesses were made in a timely manner.

16 Advise if your firm complied with all terms and conditions/regulations contained in the contract.

17 Performance Location(s) 18 Initial Contract Dollar Value

(w/Options) 19 Current / Final Contract Dollar

Value (w/Options) 20 Annual Average Dollar Value 21 POC 1: Identify Procuring

Contracting Officer’s name (or equivalent if providing a commercial contract reference), telephone number, and e-mail address.

22 POC 2: Identify Government’s technical representative or Contracting Officer’s Representative’s (COR’s) name, telephone number, and e-mail address, if applicable.

23 POC 3: Identify Administrative Contracting Officer’s name, telephone number, and e-mail address, if applicable.

ATTACHMENT 9 Page 2 of 2