Attachment 6 - Past Performance Information Form.pdf
PDF 113 KB Posted
- Attached to
- LF Contours
- Solicitation number
- FA4528-24-R-0008
About this file
This document is a Past Performance Information Form from the 5th Contracting Squadron at Minot AFB, North Dakota. The form is being used to gather information on the past performance of an offeror for the Launch Facility Contouring Indefinite Delivery Indefinite Quantity contract. The information collected includes details on the customer, contract, and services performed, as well as an evaluation of the contractor's ability to hire and maintain qualified personnel, their overall past performance rating, willingness to award another contract, and any issues with cure notices or contract termination. The form indicates the contract is rated in the Contractor Performance Assessment Reporting System (CPARS). The related federal contract opportunity is for the LF Contours solicitation, valued between $1,000,000 and $5,000,000, with wage rates specified for the work, and will be awarded on a best value trade-off basis with price and technical factors equally weighted.
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PAST PERFORMANCE INFORMATION FORM
The 5th Contracting Squadron, Minot AFB, North Dakota, is in the process of selecting a contractor for the Launch Facility Contouring Indefinite Delivery Indefinite Quantity contract. One of the considerations in proposal evaluation is the verification of the Offeror’s past and present performance on contracts, which reflect the Offeror’s ability to perform on the proposed effort. We depend on information received from agencies such as yours, which have had first-hand experience with an Offeror, for the evaluation of the performance on those contracts.
Please complete this form and providing comments wherever applicable and sign the document in the space provided. Please note, we may contact the Offeror on problem areas or concerns identified to see what corrective actions have been taken or will be taken.
However, the individual's name completing the questionnaire will not be disclosed to the Offeror.
Please return the completed form as soon as possible but no later than the offer due date noted in the Solicitation.
Respondent and Contract Information:
Name of Customer/Contract: _______________________________________________________
Address: _______________________________________________________________________
Name and Title of Evaluator: _______________________________________________________
Signature of Evaluator and Date: ____________________________________________________
Telephone No: ____________________________________________________________________
Dates/Years of Performance: _______________________________________________________
Annual $ Value: ___________________________________________________________________
Contract Number: _______________________________________________________________
Contractor performed as the Prime Contractor Sub-Contractor
Services Performed/Detailed Description of Work: _____________________________________
Did the contractor demonstrate the ability to hire, maintain, and replace, if necessary, qualified personnel? ____________________________________________________________________
How would you rate the contractor’s past performance? _________________________________
Would you award another contract to this contractor? If not, please explain: _________________
Was the contractor ever issued a cure or show cause notice, or was the contract terminated? If yes, please explain: _____________________________________________________________
Is the contract rated in CPARS? Yes No
Remarks: _______________________________________________________________________
| PAST PERFORMANCE INFORMATION FORM |
| Respondent and Contract Information: |
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