Attachment 12 Past Performance Information Sheet.docx
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- Columbus Aircraft Maintenance Services Federal contract opportunity
- Solicitation number
- FA3002-11-R-0007
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Attachment 12 - Past Performance Information Sheets
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ATTACHMENT 12
PAST PERFORMANCE INFORMATION SHEET
Provide the information requested in this form for each contract/program being described. Provide concise comments regarding your performance on the contracts you identify.
Provide a separate completed form for each contract/program submitted.
Limit the number of past efforts submitted and the length of each submission to the limitations set forth in Section L Para F of this solicitation.
| A. | Offeror Name (Company/Division):_________________________________________________ | |
| CAGE Code: | _________________________________________________________________ | |
| DUNS Number: | _________________________________________________________________ |
NOTE: If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes. Refer to the Past Performance Volume III, "Organizational Structure Change History" you provided as part of your submission.
B. Program Title: _________________________________________________________________
| C. | Contract Specifics: | |
| 1. Contracting Agency or Customer________________________________________________ | ||
| 2. Contract Number_____________________________________________________________ | ||
| 3. Contract Type________________________________________________________________ | ||
| 4. Period of Performance ________________________________________________________ | ||
| 5. Original Contract $ Value | ______________________ (Do not include unexercised options) | |
| 6. Current Contract $ Value | ______________________ (Do not include unexercised options) | |
| 7. If Amounts for 5 and 6 above are different, provide a brief description of the reason _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ |
D. Brief Description of Effort as ________Prime or ________Subcontractor (Please indicate whether it was for development and/or production, or other acquisition phase and highlight portions considered most relevant to current acquisition)
| E. | Completion Date: | ||
| Original Award date: | ____________________________________________________ | ||
| Current Schedule: | ____________________________________________________ | ||
| Estimate at Completion: | ____________________________________________________ | ||
| How Many Times Changed: | ____________________________________________________ | ||
| Primary Causes of Change: | ____________________________________________________ |
F. Primary Customer Points of Contact: (For Government contracts, provide current information on all three individuals. For commercial contracts, provide points of contact fulfilling these same roles).
| Program (Site) Manager | Name | _______________________________________ | |
| Office | _______________________________________ | ||
| Address | _______________________________________ | ||
| Telephone | _______________________________________ | ||
| FAX Number | _______________________________________ |
| Contracting Officer (CO): | Name | _______________________________________ | |
| Office | _______________________________________ | ||
| Address | _______________________________________ | ||
| Telephone | _______________________________________ | ||
| FAX Number | _______________________________________ |
| Administrative CO: | Name | _______________________________________ | ||
| Office | _______________________________________ | |||
| Address | _______________________________________ | |||
| Telephone | _______________________________________ | |||
| FAX Number | _______________________________________ |
G. Address any technical (or other) area about this contract/program considered unique.
H. For each of the applicable subfactors under the Technical Capability factor in Section M, illustrate how your experience on this program applies to that subfactor.
I. Specify, by name, any key individual(s) who participated in this program and are proposed to support the instant acquisition. Also, indicate their contractual roles for both acquisitions.
J. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting.
K. Identify whether a subcontracting plan was required by the contract you are submitting. If one was required, identify, in percentage terms, the planned versus achieved goals during contract performance. If goals were not met, please explain.
L. Describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. Also, estimate the percentage of the total proposed effort to be performed by this entity and whether this entity will be performing as the prime, subcontractor, or a corporate division related to the prime (define relationship).
FA3002-11-R-0007
Attachment 12
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