Atch_7_-_Past_Performance_Information_Sheet.docx

DOCX document 19 KB Posted

Attached to
Integrated Tactical Warning/Attack Assessment (ITW/AA) Simulation Support Federal contract opportunity
Solicitation number
FA4600-15-R-0035
Issued by
Department of the Air Force Air Combat Command

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Attachment 7- Past Performance Information Sheet

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ATTACHMENT 5

PAST PERFORMANCE INFORMATION SHEET

Provide the information requested in this form for each contract/program (citation) 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 citations submitted and the length of each submission to the limitations set forth at Table 2.0, of “Instructions to Offerors” for 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 "Organizational Structure Change History" you provided as part of your Past Performance Volume.)

B. Program Title:____________________
C. Contract Specifics:____________________
1. Contracting Agency or Customer_____________________
2. Contract Number_____________________
3. Contract Type_____________________
4. Period of Performance_____________________
5. Initial Contract Cost/Price_____________________
6. Current/final Contract Cost/Price_____________________
7. Annual Contract $ Value_____________________

8. 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 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:Name____________________
Office____________________
Address____________________
____________________
Telephone____________________
2. Contracting Officer:Name____________________
Office____________________
Address____________________
____________________
Telephone____________________
3. AdministrativeName____________________
Contracting OfficerOffice____________________
Address____________________
____________________
Telephone____________________

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

H. For each of the applicable Factors and Subfactors Section M3.0 illustrate how your experience on this program applies to that Factor and 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. 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).

FA4600-15-R-0035 ITW/AA

Attachment 5

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