Attachment_L-1_Past_Performance_Information_Sheet.pdf

Solicitation No. FA5215-13-R-7003

USPACOM Education Services

Attachment L-1

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 at paragraph C.3(c) and 3(a), respectively, of Section L-9 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:

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. 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:

1. Original date: ______________________

2. Current Schedule: ______________________

3. Estimate at Completion: ______________________

4. How Many Times Changed: ______________________

5. Primary Causes of Change: __________________________________________________

Solicitation No. FA5215-13-R-7003

USPACOM Education Services

Attachment L-1

F. Current 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 ________________________

E-Mail ________________________

2. Contracting Officer: Name ________________________

Office ________________________

Address ________________________

Telephone ________________________

3. Administrative Name ________________________

Contracting Officer: Office ________________________

Address ________________________

Telephone ________________________

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

H. For each of the applicable subfactors under the Technical Acceptability factor in Section M, illustrate how your experience on this program applies to that 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. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small

Business Concerns, on the contract you are submitting.

K. Identify whether a subcontracting plan was required by the contract you are submitting. If one was required, identify, in percentage terms, the planned versus achieved goals during contract performance. If goals were not met, please explain.

L. 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).