Attachment L-1 - Past Performance Information Form.pdf

L-1 PAST PERFORMANCE INFORMATION FORM

RFP N6852023R0035

Offeror Name: Role on this Solicitation:

Division Name:

CAGE Code:

Contract Number:

PSC:

DUNS Number:

NAICS:

Contract Type:

Project Title:

Location of Work:

Agency/Customer Name and Location:

Agency/Customer Program Manager Name:

Title:

Email Address:

Phone Number:

Agency/Customer Contracting Point of Contact Name:

Title:

Email Address:

Phone Number:

Period of Performance

START

Period of Performance

END

CONTRACT VALUE

FOR PoP

INVOICED

FOR PoP

Base Option 1 Option 2 Option 3 Option 4 Option 5 Total Contract Value

Contract Effort Description:

CUI

SOURCE SELECTION INFORMATION - SEE FAR 2.101 and 3.104

CUI

SOURCE SELECTION INFORMATION - SEE FAR 2.101 and 3.104

Demonstrated Systemic Improvement Information: Identify those demonstrated improvement actions taken to resolve any performance issues or problems. Describe the techniques, elements and tools used to correct issues or problems and, if applicable, how these techniques, elements and tools will be employed during performance of this requirement.

If applicable, note whether the contract met or exceeded Small Business (SB), Veteran-Owned Small Business (VOSB), Service-Disabled Veteran-Owned Small Business (SDVOSB), HUBZone Small Business (HUBZone), Small Disadvantaged Business (SDB), and Women-Owned Small Business (WOSB) small business utilization and subcontracting goals. The Offeror may provide this information in a format substantially the same as the Individual Subcontracting Report (ISR).