DAtch10PPCitationList 1 .pdf

SAMPLE

Solicitation FA0021-15-R-0004

3 Nov 2014

PRESENT AND PAST PERFORMANCE CITATION

OFFEROR:

Citation No.: Title of Effort:

Company Name (Division / Group / Unit):

CAGE Code:

DUNS No.:

Address:

Program Title:

Contract Number:

Contract Type(s):

(List all that apply)

Contracting Agency/Customer:

Period of Performance

Contract Value:

Original Ceiling Amt (total including all options):

Current $ to date (Include only exercised options)

Estimated $ at Completion (Include Current $ plus Unexercised options)

Reason for Change(s) in Value:

Completion Date: Original: Current:

Number and Reason for Change(s) in Schedule:

POINTS OF CONTACT

Program Manager Contracting Officer Admin Contracting Officer

Name:

Office:

Address:

Phone:

E-Mail:

Other (specify)::

Name:

Office:

Address:

Phone:

E-Mail:

Attachment 10

SAMPLE

Solicitation FA0021-15-R-0004

3 Nov 2014

Description of Effort

[To complete Description of Effort, Reference L-0008, Para 2.1.2.1]

Attachment 10

PRESENT AND PAST PERFORMANCE CITATION