Atch_7_Past_Performance_Information_Sheet.docx

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Weapon System Support Contract
Solicitation number
FA3002-13-R-0005
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Attachment 7 Past Performance Information Sheet

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FOR OFFICIAL USE ONLY

Source Selection Information – See FAR 2.101 and 3.104

PAST PERFORMANCE INFORMATION

Attachment 7

Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted.

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 "Organizational Structure Change History" you provided as part of your Past Performance Volume.)

B. Program Title: ___________________

C. Contract Title: ___________________

1. Contract 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)

If amounts for 5 and 6 above are different, provide a brief description of the reason

Brief Description of Effort as ___Prime or ___Subcontractor (Please indicate whether it was development and/or production, or other acquisition phase and highlight portions considered most relevant to current acquisition)

Completion Date

1. Original date:________________________
2. Current Schedule:________________________
3. Estimate at Completion:________________________
4. How Many Times Changed:________________________
5. Primary Causes of Change:________________________

D. Primary Customer Points of Contact: (For Government contracts, provide current information on all three individuals, in the format shown below. For commercial contracts, provide points of contact fulfilling these same roles.)

1. Program Manager:Name_____________________
Office_____________________
Address_____________________
Telephone_____________________
Email_____________________
2. Contracting Officer:Name_____________________
Office_____________________
Address_____________________
Telephone_____________________
Email_____________________

3. Administrative

Contracting Officer:Name_____________________
Office_____________________
Address_____________________
Telephone_____________________
Email_____________________

E. For each of the applicable sub-factors under the Technical factor in paragraph L.3.1., illustrate how your experience on this program applies to that sub-factor.

F. 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.

G. 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).

FOR OFFICIAL USE ONLY

Source Selection Information – See FAR 2.101 and 3.104

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