D15PS00125_Attachment3.docx

PAST PERFORMANCE INFORMATION SUMMARY

SOLICITATION NUMBER D15PS00125

Provide the information requested in this template for each contract/program being identified as a reference. Please provide frank, concise comments regarding your performance on the contracts you identified. Provide a separate completed summary for each reference submitted. Limit the number of past efforts submitted and the length of each submission to the limitations set forth in Section L.

a. SECTION 1 - CONTRACT DESCRIPTION:

1) OFFEROR'S NAME (Company/Division)

CAGE CODE:

DUNS NUMBER.

TAX I.D. NUMBER

(NOTE: If the company or division performing this effort is different from the Offeror’s name provided in the proposal submission, or the relevance of this effort is impacted by a company/corporate organizational change, note those changes.)

2) PROGRAM TITLE

3) CONTRACT SPECIFIC:

Contracting Agency or Customer

Contract Number:

Contract Type:

Place of Performance:

Period of Performance:

Original Contract $ Value:

(Do not include unexercised options)

Current Contract $ Value:

(Do not include unexercised options)

1. BRIEF DESCRIPTION of Effort as _____ Prime or _____ Subcontractor:

(Please highlight portions considered most relevant to current acquisition.)

5) COMPLETION DATE:

Original Date:

Current Schedule:

Estimate as Completion:

How many Times Changed:

Primary Cause of Change:

6) PRIMARY CUSTOMER POINT(s) OF CONTACT:

a) Contracting Officer:

Name:

Office:

Address:

E-MAIL:

Telephone:

Fax:

b) Contracting Officer's Representative:

Name:

Office:

Address:

E-MAIL:

Telephone:

Fax:

*NOTE: Offerors may add additional references if desired.

b. SECTION 2 - PERFORMANCE:

1. Address any technical (or other) areas about this contract considered unique.

2) For each of the applicable sub-factors under the Technical and Management Factor in Section L, illustrate how your experience on this contract applies to that sub-factor.

3) Describe any past or present litigation or administrative proceeding pertaining to the reference contract, including the results, if the proceedings are complete or the current status if the proceedings are ongoing. The Offeror shall also provide a copy of any cure notice or show because notice received on each contract listed and a description of any corrective action taken. The Offeror shall indicate if any of the contracts listed were terminated and the type and reasons for the termination.

1. Discuss the number and severity of problems in the referenced contract and the effectiveness of corrective actions taken to resolve the problems.

c. SECTION 3 -SUBCONTRACTORS:

Offerors shall provide the above required information for any proposed subcontractor who will perform ten percent or more of the effort.

d. SECTION 4 - NEW ENTITY:

New corporate entities may submit data on prior contracts involving its officers and employees. However, in addition to the other requirements in this section, the Offeror shall discuss the role performed by such persons in the prior contracts cited.

NOTE: The Government reserves the right to contact and use information provided by the references and any other sources. It is the Offerors’ responsibility to ensure all reference data is current so that the performance information can be evaluated.

D15PS00125 2 of 2 Attachment 3