CUI C04.0 Attachment J-5 Previous Efforts Form.pdf

BUSINESS SENSITIVE (WHEN FILLED IN)

N4523A21R0800

Source Selection Information – See FAR 2.101 and 3.104

Attachment J-5 Previous Contracting Efforts Narrative Form

Past Performance Data (Complete the blocks in this form for each contract or task order identified in response to this solicitation)

Performing Contractor/Division:

CAGE Code/DUNS Number Customer/Program Name:

Contract Number/Task Order Number:

Period of Performance:

Customer Points of Contact (POC) (Provide name, address, telephone number, FAX number, and e-mail address for one of the POCs identified below. More than one is permitted, but only one is required.)

Contracting Officer (KO):

Contract Information Contract Type: Fixed-Price Type; Firm- Fixed-Price; Labor Hour or Time-and- Materials; Cost-Reimbursement (CPFF, CPAF, etc.)

If the contract/task order has been completed, provide the program cost/price:

Dollar Amount at Award:

Current Estimate to Complete:

Summary Overview of the Corporate Experience (Complete the blocks in this form for each contract or task order identified in response to this solicitation)

N4523A21R0800

Source Selection Information – See FAR 2.101 and 3.104

Attachment J-5: Previous Contracting Efforts

Using the space below provide the following narrative information:

• Provide a detailed description for this past contract/task order with emphasis on how recent and relevant this work is as it relates to the requirements described in the statement of work (SOW).

• If performed, provide Contractor Performance Assessment Record System (CPARS) rating for specific action.

• If no CPARS rating for this effort, provide customer description of performance result for specific action.