SectionLPst PerfMACC.doc

Attachment 6

FA5000-10-R-0011

SECTION L

PAST PERFORMANCE INFORMATION

Limitation 5 Contracts 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. 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 Specifics:

Contracting Agency or Customer:

Contract Number:

Contract Type:

Performance Period:

Original Contract $ Value:

Current Contract $ Value:

(Do not include unexercised options)

If amounts for 5 & 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:

Original Date:

Current Schedule:

Estimate Completion:

How Many Times Changed:

Primary Cause of Change:

F. Primary Customer Points of Contact: (For Government contracts, provide current information on all three individuals. For commercial contracts, provide points of contract fulfilling these same roles.)

1. Program Manager and/or Site Manager

Name:

Office/Address:

Telephone Number:

Fax Number:

2. Contracting Officer

Name:

Office/Address:

Telephone Number:

Fax Number:

3. Administrative/Contracting Officer

Name:

Office/Address:

Telephone Number:

Fax Number:

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

H. For each of the applicable subfactors under the Mission Capability factor in Section M, illustrate how your experience on this program applies to the 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).