Att_4_Past_Performance_Info_Summary.docx

PAST PERFORMANCE INFORMATION SUMMARY

SOLICITATION: D17PS00139

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 length of each submission to 5 pages.

1. SECTION 1 – CONTRACT DESCRIPTION

a. 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, identify those changes.

b. PROGRAM TITLE

c. CONTRACT SPECIFIC:

Contracting Agency or Customer:

Contract Number:

Contract Type:

Place of Performance:

Period of Performance:

d. BRIEF DESCRIPTION of Effort as [ ] Prime or [ ] Subcontractor (Please highlight portions considered most relevant to current acquisition).

e. COMPLETION DATE:

Original Date:

Current Schedule:

Estimated Completion:

How many times it changed:

Primary Cause of Change:

f. PRIMARY CUSTOMER POINT(S) OF CONTACT

i. Contracting Officer

Name:

Address:

Email:

Phone:

Fax:

ii. Contracting Officer Representative

Name:

Address:

Email:

Phone:

Fax:

NOTE: Offerors may add additional references, if desired.

2. SECTION 2 – PERFORMANCE

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

b. 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.

c. 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.

d.

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

3. SECTION 3 – SUBCONTRACTORS

Offerors shall provide the above required information for any proposed subcontractor who will perform twenty (20%) percent or more of the effort.

4. 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.

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND FAR 3.104

D17PS00139 Attachment 4