Attachment 3 Past and Present Performance Information.pdf

Attachment 3 Mess Attendant Services

Solicitation FA5004-11-R-A001 1 of 2

PAST/PRESENT PERFORMANCE INFORMATION

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor: ________________________________________________________________________________

B. Cage Code of contractor contract was awarded to: _________________________________

C. Contract number: _______________________________________

D. Contract type: ______________________________

E. Was this a competitive contract? Yes _____ No _____

F. Period of performance: _________________________________________________________

G. Initial contract cost: $____________________________

H. Current/final contract cost: $_______________________________

I. Reasons for differences between initial contract cost and final contract costs: ____________________________

J. Description of service provided: ________________________________________________________________

SECTION 2: CUSTOMER OR AGENCY IDENTIFICATION

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract, i.e. local, nationwide, worldwide, other Commands:

D. Government Contracts Only: Has/was this contract been partially or completely terminated for default or convenience or are there any pending terminations?

Yes___ Default___ Convenience___ Pending Terminations___ No ___

If yes, please explain (e.g., inability to meet cost, performance, or delivery schedules, etc).

Attachment 3 Mess Attendant Services

Solicitation FA5004-11-R-A001 2 of 2

SECTION 3: NARRATIVE SUMMARY

Short Naritive to show relevency for Mess Attendant Services.

Please provide any additional comments concerning this contractor’s performance, as desired.

Contractor Signature Date

Thank you for your prompt response and assistance!

Please return this completed questionnaire to:

Mailing Address:

354 Contracting Squadron LGCB – Commodities/Services 1301 Central Ave Unit 320 Eielson AFB AK, 99702

Or FAX to: 907-377-2389