Attachment L-1 - Past Performance Information Form.pdf

ATTACHMENT L-1

[HDTRA1-12-R-0011]

PAST PERFORMANCE INFORMATION FORM

CTR LOGISTICS SUPPORT

SOLICITATION NUMBER: HDTRA1-12-R-0011

Provide the information requested in this form, for each contract/program being assessed for past or present performance. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate form for each contract/program submitted.

1. Offeror Name (Company/Division): __________________________________________

CAGE Code: __________________________________________

DUNS Number + 4: __________________________________________

2. Program Title: __________________________________________

3. Contract Specifics:

a. Contracting Agency or Customer __________________________________________

b. Contract Number __________________________________________

c. Contract Type __________________________________________

d. Role (check one) Prime_______ Sub_______

e. Period of Performance __________________________________________

f. Original Contract $ Value ________________ (Do not include unexercised options)

g. Current Contract $ Value ________________ (Do not include unexercised options)

h. Total Contract $ Value ________________ (Include unexercised options)

i. If amounts for (f) and (g) above are different, provide a brief description of the reason:

4. 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.)

a. Program Manager:

Name __________________________________________

Office __________________________________________

Address __________________________________________

Telephone __________________________________________

E-mail __________________________________________

b. Contracting Officer:

Office __________________________________________

Address __________________________________________

c. Administrative Contracting Officer (if applicable):

Office __________________________________________

Address __________________________________________

5. Provide a brief description of the effort.

6. Illustrate how your experience on this referenced contract/program relates to the scope of your proposed effort on this solicitation. Please utilize the scope areas identified in the SOO, Section 5, as your point of comparison.

7. Identify principle challenges you have encountered in executing previous/current efforts as related to this proposal and how you were able to mitigate and/or overcome them.

8. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are identifying.