Atch 4 PP Info Sheet_11Oct22_Amd0002.docx
DOCX document 22 KB Posted
- Attached to
- Religious Services
- Solicitation number
- FA480123Q0009
About this file
This document is a past performance information sheet template for a federal solicitation seeking religious services. The solicitation is number FA480123Q0009 and was issued by the Department of the Air Force Air Combat Command. Offerors are requested to provide information on relevant past contracts they have performed as the prime contractor or subcontractor, including the contracting agency, contract number, period of performance, original and current contract values, completion dates, and points of contact. Offerors are also asked to describe the efforts performed on one of the past contracts and rationale for its recency and relevance. The description is limited to two pages.
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Text version
Sol#. FA480123Q0009, Amd 0002
ATTACHMENT 4
PAST PERFORMANCE INFORMATION SHEET FOR
RELIGIOUS SERVICES
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 the Instructions to Offerors section of this solicitation.
| A. | Offeror Name (Company/Division): | ____________________ | |
| CAGE Code: | ____________________ | ||
| DUNS Number: | ____________________ | ||
| Performed as __Prime or __Subcontractor |
B. Program Title: ____________________
C. Contract Specifics:
| 1. Contracting Agency or Customer _____________________________________________ | |
| 2. Contract Number | __________________________________________________________ |
| 3. Contract Type __________________________(i.e. Fixed Price, Cost, Time and Material, etc.) | |
| 4. Period of Performance __________________________ | |
| 5. Place of Perfornace _____________________________ | |
| 6. Original Contract $ Value | _________________ (Do not include unexercised options) |
| 7. Current Contract $ Value | _________________ (Do not include unexercised options) |
| 8. If Amounts for 5 and 6 above are different, provide a brief description of the reason ____________________________________________________________________________________________________________________________________________________________________________________________________ |
D. Completion Date:
| 1. Original date: | ____________________ |
| 2. Current Schedule: ____________________ | |
| 3. Estimate at Completion: ____________________ | |
| 4. How Many Times Changed: ____________________ | |
| 5. Primary Causes of Change: ______________________________________________________________ |
E. Primary Customer Points of Contact (PoC): (For Government contracts, provide current information on all three individuals. For commercial contracts, provide points of contact fulfilling these same roles).
| Government PoCs |
| Name |
| Phone # |
Program Manager, Site Manager or COR
Procuring Contracting Officer
Administrating Contracting Officer
| D. | __Prime or __Subcontractor. Using the next two (2) pages, describe the effort your company performed. Provide rationale supporting recency and relevance (as defined in the 52.212-1, Instructions to Offerors and 52.212-2, Evaluations (including Addendums) of the solicitation). Provide frank, concise comments regarding your performance on this contract to substantiate a rating of acceptable as defined in the Instruction to Offeror of the solicitation. Return this no-more than 3-page Attachment per contract with proposal. | |
| 11 October 2022 | Attachment 4 | Page 2 of 2 |
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