Atch_8-2_Past_Performance_Info_Sheet.pdf

FA4801-11-R-0003

Attachment 8-2

ATTACHMENT 8-2

PAST PERFORMANCE INFORMATION SHEET

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 and the length of each submission to the limitations set forth in 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 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 Number:_________________________________

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. Description and rationale for recency/relevance. Describe the effort your company performed. Provide rationale supporting recency and relevance (as defined in sections L and M of the solicitation). Check one of the following: __Prime or __Subcontractor.

E. Performance Rating: Rate your own performance and provide frank, concise comments regarding your performance on this contract to substantiate a rating of acceptable as defined in sections L and M of the solicitation.

Use additional space as required.)

FA4801-11-R-0003

Attachment 8-2

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 Name ____________________ Site Manager Office ____________________ Address ____________________ Telephone__________________ FAX Number_______________

2. Contracting Officer: Name ____________________

Office ____________________ Address ____________________ Telephone__________________ FAX Number_______________

3. Administrative Name ____________________ Contracting Officer: Office ____________________ Address ____________________ Telephone__________________ FAX Number_______________

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. ___________________________