8(C) Past Performance Reference Sheet.pdf

DJM-14-A32-R-0006 PAST PERFORMANCE

REFERENCE SHEET

1. Name of Contracting Activity/Organization:

2. Contract Number:

3. Contract Type: Negotiated ______ Sealed Bid __ Labor Hour (IDIQ) _______ Cost Reimbursement Firm Fixed Price _________ Other ___________

4. Total Contract Value: $____________________________

5. Status: Active____________ Completed __________

6. Date of Award: _________________________________ Original estimated completion date: _________________ Actual completion date: __________________________

Explanation for schedule variance:

7. Nature and Scope of the work:

8. Contracting Officer & Telephone Number:

E-mail address: _____________________

9. Program Manager & Telephone Number:

E-mail address: ___________________

10. Administrative Contracting Officer (if different from #8):

E-mail address: ____________________

11. Contracting Officer's Technical Representative (COTR) and Telephone Number:

E-mail address: ____________________

12. List of major subcontracts and their contribution to the overall value of the contract (percentage):

13. Any problems or mitigating circumstances which the offeror would like to have known to balance the evaluations of those named above:

Attachment 8(C)

14. Past Performance Information available in [ ] SAM, [ ]FAPIIS, [ ] PPIRS or other ____________. All past performance information contained in these data bases will be considered by the Government in determining the Offerors Past Performance. The CPARS Update Questionnaire is to be used to add or bring to our attention any additional information the Offeror wishes to convey.

15. CPARS Update Questionnaire is attached.

16. Should the Offeror not have three (3) relevant contracts currently registered in PPIRS, or another data base to which the USMS has access that are of similar size and scope to the requirements of this solicitation, the Contractor shall provide additional relevant references. The Contractor shall complete separate reference sheets for each additional Government or Commercial contract that is of similar size and scope and are within three (3) years of completion of performance (See FAR 42.1503(e)).

-USE ADDITIONAL PAPER IF NECESSARY-

JM-13-A32-R-0003 PAST PERFORMANCE

REFERENCE SHEET

A SEPARATE REFERENCE SHEET MUST BE COMPLETED FOR THREE (3)

FEDERAL GOVERNMENT OR COMMERCIAL CONTRACTS PERFORMED

DURING THE LAST 3 YEARS THAT ARE SIMILAR IN SIZE AND SCOPE

AND RELEVANT TO THE PERFORMANCE REQUIREMENTS IN THE

SOLICITATION.

-USE ADDITIONAL PAPER IF NECESSARY-