Attachment II - Past Performance Information Form.pdf

SOLICITATION: 1305M223QNMAN0056

ATTACHMENT: II

1. Refer to FAR 52.212-1(b) of Solicitation 1305M223QNMAN0056, Instructions to Offerors, Quote

Instructions. The offeror shall complete this form in its entirety for each contract identified in the offeror’s

Past Performance Information.

2. Check one of the following statements:

Contract Performance Assessment Reporting System (CPARS) - The referenced Contract Number has a completed CPARS and can be located at the CPARS website.

Past Performance Questionnaire (Fill-in Data under item 3 prior to sending to Agency/Client POC)

The Point of Contact or Project Manager associated with the work completed under the referenced

Contract Number has been sent this form and the Past Performance Questionnaire to complete and return to Contract Specialist, Tamara Horton prior to the closing date of the solicitation: April 28, 2023 at 1:00

PM ET.

EMAIL: Tamara.Horton@noaa.gov

3. Provide the following data in its entirety.

a. Contract Number and Client point of contact (including 2 points of contact with telephone numbers)

POC #1: /Phone: /Email: _______________________

POC #2: /Phone: /Email: _______________________

b. Ship Name, Hull Number:

c. Dollar Value of the contract (Original: $ and Final: $ )

d. Type of service performed and whether Prime or Sub Contractor: Type: , Prime or Sub:

e. Contract performance period at the start of the contract: Start: End:

f. Actual performance dates upon completion: Begun: Completed:

g. Contract Type:

h. Percentage of growth in contract price (Additional work divided by award price) and the extent of

Subcontracting:

Growth Percentage: % Extent of Subcontracting:

PAST PERFORMANCE INFORMATION FORM

AGENCY OR CLIENT:

NOTE: It is the responsibility of the Offeror to follow‐up and to encourage references to submit the questionnaire prior to the solicitation closing date of: April 28, 2023 at 1:00

PM ET.

CONTRACT NUMBER:

Form of mailto:EMAIL:%20Tamara.Horton@noaa.gov