Attachment L-1 Past Performance Information Form.pdf

Attachment L-1: Past Performance Information Form Page 1

ATTACHMENT L-1: PAST PERFORMANCE INFORMATION FORM

Provide the information requested in this form for each contract being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract submitted. Limit the number of past efforts submitted to the limitations set forth in Section L-002 of this solicitation.

A. Offeror Name (Company/Division): ______________________________________

CAGE Code: ________________________________________________________

DUNS Number: ______________________________________________________

NOTE: If the company or division performing this effort is different than the Offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, explain here:

B. Program Title:_______________________________________________________________

C. Contract Specifics:

1. Contracting Agency or Customer:_________________________________________

2. Contract Number/Task Order/Job Order:____________________________________

3. Contract Type: ☐ Fixed Price ☐ IDIQ

☐ Cost ☐ Others: (specify)____________________

4. Role: ☐ Prime ☐ Sub-contractor ☐ Joint Venture ☐ Protégé/Mentor

5. SABER: ☐ Yes ☐ No

6. Job Disciplines:

☐ Heating Ventilation Air Conditioning (HVAC)

☐ Electrical (Indoor and Outdoor)

☐ Mechanical

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☐ Design

☐ Carpentry

☐ Roofing

☐ Excavation

☐ Plumbing

☐ Sheet metal

☐ Painting

☐ Demolition

☐ Concrete masonry

☐ Welding

☐ Carpeting

☐ Lead abatement

☐ Asbestos abatement

☐ Steam Fitting

☐ Road and parking lot repair

☐ Fire Protection

☐ Fencing

☐ Other:

7. Contract Environment:

☐ USAF or Air Reserve Base Contiguous United States (CONUS) ___________

☐ DoD Installation_________________________________________________

☐ Federal ________________________________________________________

☐ State __________________________________________________________

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☐ County____________________ State of______________________________

☐ City________________________________State of _______________________

☐ Other_____________________________________________________________

8. Period of Performance: From ______________________ To ___________________

9. Contract/Order/Project Amount: ___________________________________________

10. Highest amount of Task Orders performed concurrently under this contract:

11. Original Contract $ Value: $_____________________ (Do not include unexercised options)

12. Current Contract $ Value: $_____________________ (Do not include unexercised options)

13. If amounts for 11 and 12 above are different, provide a brief description of the reason:

D. Brief Description of Effort as _____ Prime or ____ Subcontractor or _____ Joint Venture or

_____ Protégé/Mentor (check one)

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E. Completion Date

1. Original Date: ________________________________________________________________

2. Current Schedule: _____________________________________________________________

3. Estimate at Completion: ________________________________________________________

4. How Many times has the Completion Date Changed:

5. Primary Causes of Change: _____________________________________________________

F. Primary Customer Points of Contact: (For government contracts, provide current information on all three individuals. For commercial contracts, provide points of contact fulfilling these same roles).

1. Program Manager Name: _______________________________________________________

2. Office: _____________________________________________________________________

3. Address: ____________________________________________________________________

4. Phone: _____________________________________________________________________

5. Email: ______________________________________________________________________

6. Contracting Officer Name: _____________________________________________________

7. Office: _____________________________________________________________________

8. Address: ___________________________________________________________________

9. Phone: _____________________________________________________________________

10. Email: ____________________________________________________________________

11. Administrative Contracting Officer Name: _______________________________________

12. Office: ____________________________________________________________________

13. Address: __________________________________________________________________

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14. Phone: ____________________________________________________________________

15. Email: ____________________________________________________________________

G. Address any technical (or other) area about this contract/program considered unique:

H. Specify, by name, any key individual(s) who participated in this program and are proposed to support the instant acquisition. Also, indicate their contractual roles for both acquisitions.

I. Describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. Also, estimate the percentage of the total proposed effort to be performed by this entity and whether this entity will be performing as the prime, subcontractor, or a corporate division related to the prime (define relationship).