FA524023R0033 Attachment 7 Past Performance.pdf

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Attached to
36 CES Airfield Lighting Control and Monitoring System (ALCMS) Maintenance and Repair Services
Solicitation number
FA524023R0033
Issued by

About this file

This document is a past performance fact sheet template for offerors to complete as an attachment to a solicitation for airfield lighting control and monitoring system maintenance and repair services. The solicitation is issued by the 36th Contracting Squadron at Pacific Air Forces for the Airfield Lighting Control and Monitoring System (ALCMS) at an unspecified air force base. Offerors must provide details of relevant past contracts on the fact sheet, including contract details like value, period of performance, work description, and role as prime contractor or subcontractor. Respondents from the customer agency for each past contract must also be identified to provide feedback. No pricing terms, response dates, or incumbent are included in this template attachment to the solicitation.

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FA524023R0033 Airfield Lighting Control & Monitoring System (ALCMS) Maintenance & Repair Services Attachment 7: Past Performance Fact Sheet

Controlled Unclassified Information When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Controlled Unclassified Information Page 1 of 2

TO BE COMPLETED BY OFFEROR

Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor Cage Code:

C. Contract Number:

D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

E. Program Title:

F. Brief Program Description:

G. Period of Performance

1. Original Schedule (assuming all options exercised):

Beginning Date _________ through ____________

2. Current Schedule (assuming all options exercised):

Beginning Date _________ through ____________

3. Reason for difference (if applicable):

H. Contract Dollar Value

1. Original maximum contract dollar value (assuming all options exercised): $

2. Current maximum contract dollar value (assuming all options exercised): $

3. Reasons for difference between original and current contract dollar value (if applicable):

I. Description of work performed:

J. How is this project relevant?

K. Was this a competitively awarded contract? ☐ Yes ☐ No

L. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836

FA524023R0033 Airfield Lighting Control & Monitoring System (ALCMS) Maintenance & Repair Services Attachment 7: Past Performance Fact Sheet

Controlled Unclassified Information When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Controlled Unclassified Information Page 2 of 2

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):

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone number / fax number / e-mail address:

D. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):

E. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

F. Other suggested points of contact:

Signature of Offeror http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836

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