Atch 38 Performance Information Form.pdf

FA4861-11-R-A400

Attachment #38

PERFORMANCE INFORMATION FORM

I. Offeror Name (Company/Division)

CAGE CODE: DUNS NUMBER:

II. PROGRAM TITLE:

III. CONTRACT SPECIFICS:

A. Contracting Agency or Customer:

B. Contract Number:

C. Contract Type:

D. Period of Performance (include exercised options):

E. Contract Dollar Value:

F. Has the contract been entered into the Construction Contractor Appraisal Support System (CCASS)?

YES NO

IV. Brief Description of Contract performed as Prime Joint Venture Subcontractor

Indicate the type of services provided and highlight portions considered most relevant to this solicitation requirement. Include information required by (g)(4)(i)(ii)(iii) above and continue on separate sheet if necessary.

V. On a separate sheet, explain corrective actions taken in the past, if any, for substandard performance and any current performance problems such as cost overruns, extended performance periods, numerous warranty calls, etc.

VI. Primary Customer Points of Contact: For Government contracts provide the following information for the

Program Manager and/or Contracting Officer. For commercial contracts, provide equivalent information.

(1) Name:

(2) Office:

(3) FAX Number:

(4) Email Address:

(5) Telephone Number: