Atch_18_Past_Performance_Information.docx

DOCX document 26 KB Posted

Attached to
Multiple Award Construction Contract (MACC) Federal contract opportunity
Solicitation number
FA469019RA003
Issued by
Department of the Air Force Air Combat Command

About this file

This document provides details for a Multiple Award Construction Contract solicitation for Ellsworth Air Force Base. The Air Force seeks to award indefinite delivery indefinite quantity contracts to up to three small businesses for new construction, renovation, alteration, demolition, and repair work using design-build or design-bid-build methods. Work will include tasks in trades such as carpentry, roofing, electrical, and HVAC. The NAICS code is 237990 and annual size standard is $36.5 million. The solicitation period is from date of award through 29 June 2021 with a minimum of $500 and maximum of $18 million per contract. The solicitation will be issued on or about 14 November 2018 via FBO.gov and no paper copies will be distributed. Prospective contractors must register in SAM to be eligible for award.

FA469019RA003 Atch 18

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Text version

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 as directed set forth at Section III – PAST PERFORMANCE INFORMATION, of Section L, paragraph’s 3.3.2.3. and 3.3.3. of this solicitation.

A.Offeror Name (Company/Division):____________________________
CAGE Code:____________________________
B.Program Title:____________________________
C. Contract Performed as the:______ Prime______ Subcontractor
D.Contract Specifics:
1. Contracting Agency or Customer ___________________________________________
2. Contract Number__________________________________________________________
3. Contract Type __________________________
4. Period of Performance __________________________
5. Original Contract $ Value _________________
6. Current Contract $ Value _________________

7. If Amounts for 5 and 6 above are different, provide a brief description of the reason ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

E. Brief Description of Effort as Prime or Subcontractor:

F. Primary Customer Points of Contact:

Contracting Officer and/or Site Manager:

Name________________________________________
Office________________________________________
Address________________________________________
Telephone______________________________________
Email__________________________________________

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

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.

I. Detail why and how this project is considered relevant to this solicitation as described section M-11, paragragh 2.3.2. in Section M – Evaluation Factors for Award.

J. Describe the nature or portion of the work on the Ellsworth MACC 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).

Attachment 18

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