ATTACHMENT 4-Past Performance Information.docx

ATTACHMENT 2

RFP FA3300-24-R-0021

PAST PERFORMANCE INFORMATION

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. Limit the number of past efforts submitted to the limitations set forth at Section L, G(3)(e), Past Performance Information (PPI).

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:

Contract Specifics:

a. Contracting Agency or Customer

b. Contract Number

c. Contract Type

d. Period of Performance

e. Original Contract $ Value (Do not include unexercised options)

f. Current Contract $ Value (Do not include unexercised options)

g. If Amounts for 5 and 6 above are different, provide a brief explanation of the reason

C. Provide a clear Description of Effort as Prime or Subcontractor and indicate how it is relevant to this current acquisition requirement.

D. Completion Date:

a. Original date:

b. Current Schedule:

c. Estimate at Completion:

d. How Many Times Changed:

e. Primary Causes of Change:

E. 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).

a. Program Manager and/or Name Site Manager Office

Address

Telephone

FAX Number

b. Contracting Officer: Name

Office

Address

Telephone

FAX Number

c. Administrative Name

Contracting Officer: Name

Office

Address

Telephone

FAX Number

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

G. For each of the applicable subfactors under the Addendum FAR 52.212.2, Volume 2, Technical, illustrate how your experience on this program applies to that subfactor.

H. 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.

(If FAR 52.219-8, Utilization of Small Business Concerns, if applicable, insert the paragraph below to comply with the past performance evaluation requirement of DFARS 215.305(a)(2).)

I. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting. (If FAR 52.219-9, Small Business Subcontracting Plan, if included, insert the paragraph below to comply with the past performance evaluation requirement of DFARS 215.305(a)(2).)

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). (This is especially important if requesting the Past Performance volume early, as the Past Performance Team will not have any other source for this information, which is critical to their relevancy determination)