FA286025Q0020 - Attachment 5 - Past Performance Fact Sheet.pdf
PDF 212 KB Posted
- Attached to
- PKA - CES/CEF Fire Hose Testing
- Solicitation number
- FA286025Q0020
About this file
This document is a Past Performance Fact Sheet for Solicitation FA286025Q0020 related to Fire Hose Testing for the 316 CES/CEF (Civil Engineer Squadron/Civil Engineer Flight). The form is designated as Controlled Unclassified Information and is designed to be completed by an offeror to provide details about a previous contract performance. The template includes three primary sections: Contract Identification, Customer/Agency Identification, and Respondent Identification, with fields for capturing comprehensive contract history, customer details, and respondent contact information. The document is intended to support source selection processes by allowing contractors to document their past performance credentials, with specific areas for describing contract value, period of performance, work description, contract role, and geographical service scope.
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Text version
FA286025Q0020 – 316 CES/CEF Fire Hose Testing
Past Performance Fact Sheet
Controlled Unclassified Information
When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.
Controlled Unclassified Information Page 1 of 2
Section 1: Contract Identification
A. Contractor (Company/Division):
B. Contractor Cage Code:
C. Contract Number:
D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):
E. Program Title:
F. Brief Program Description:
G. Period of Performance
1. Original Schedule (assuming all options exercised):
Beginning Date through
2. Current Schedule (assuming all options exercised):
Beginning Date through
3. Reason for difference (if applicable):
H. Contract Dollar Value
1. Original maximum contract dollar value (assuming all options exercised): $
2. Current maximum contract dollar value (assuming all options exercised): $
3. Reasons for difference between original and current contract dollar value (if applicable):
I. Description of work performed:
J. How is this project relevant?
K. Was this a competitively awarded contract? ☐ Yes ☐ No
L. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel
TO BE COMPLETED BY OFFEROR
http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836
FA286025Q0020 – 316 CES/CEF Fire Hose Testing
Past Performance Fact Sheet
Controlled Unclassified Information
When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.
Controlled Unclassified Information Page 2 of 2
Section 2: Customer or Agency Identification
A. Customer or agency name:
B. Customer or agency description (if applicable):
C. Geographic description of services under this contract (i.e., local, nationwide, worldwide, other Commands):
Section 3: Respondent Identification
A. Respondent’s name:
B. Respondent’s title:
C. Respondent’s phone number / fax number / e-mail address:
D. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):
E. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:
F. Other suggested points of contact:
Signature of Offeror http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836
File details come from the government source that posted it. Updated .