Past Performance Information Form.docx

DOCX document 28 KB Posted

Attached to
Design-Build - Repair Multi-Service Troop Facility B2263
Solicitation number
FA301626R0018
Issued by

About this file

This is a Past Performance Information Form template designed for offerors to document relevant contract and program experience during the proposal evaluation process for federal solicitations.

The form requires offerors to submit detailed information for each past contract or program cited, including company identification (name, CAGE code, DUNS number), program title, and specific contract details such as contracting agency, contract number, contract type, period of performance, and original and current contract values. Offerors must describe the effort performed (as prime or subcontractor), provide completion date information including any schedule changes and their causes, and identify three primary customer points of contact: the Program Manager/Site Manager, Contracting Officer, and Administrative Contracting Officer. The form also requires offerors to address technical areas considered unique to the contract, demonstrate how past experience applies to applicable technical sub-factors in the current solicitation, identify key personnel proposed for the new effort, document subcontracting plan compliance with planned versus achieved goals, and describe the nature and percentage of work to be performed by the business entity. This template is specifically referenced in the Design-Build solicitation FA301626R0018 for the renovation of Building 2263 (B2263) at an Air Force facility, which involves design progression submittals, interior renovation, deficiency corrections, standby generator installation, and site work with historical agency review requirements. The form is limited in quantity per the limitations set forth in Section L, Volume II of the solicitation.

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Text version

ATTACHMENT 09 – PAST PERFORMANCE INFORMATION FORM

Provide the information requested in this form for each contract/program (citation) 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 citations submitted to the limitations set forth at paragraph L11, Volume II – Past Performance of Section L 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, note those changes.)

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 development and/or production, or other acquisition phase (or Service) and highlight portions considered most relevant to current acquisition)

E. Completion Date:

1. Original date:____________________
2. Current Schedule: ____________________
3. Estimate at Completion: ____________________
4. How Many Times Changed: ____________________
5. 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).

1. Program Manager and/or Site Manager:

Name____________________
Office____________________
Address________________________________________
Telephone__________________

2. Contracting Officer:

Name____________________
Office____________________
Address________________________________________
Telephone__________________

3. Administrative Contracting Officer:

Name ____________________ Office ____________________ Address________________________________________ Telephone__________________

G. Address any technical (or other) area about this contract/program considered unique.

H. For each of the applicable sub-factors under the Technical factor in Section M, illustrate how your experience on this program applies to that sub-factor.

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. 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.

K. 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).

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