FA524024Q3002 Attachment 7 - Past Performance Fact Sheet.pdf
PDF 271 KB Posted
- Attached to
- 554 RHS ICF Debris Removal
- Solicitation number
- FA524024Q3002
About this file
This document is a Past Performance Fact Sheet as an attachment to Solicitation FA524024Q3002 for 554 RHS ICF Debris Removal services. The solicitation is a 100% small business set-aside under NAICS 562119 with a $47M size standard. The purpose is to establish a purchase order for debris removal services at the Silver Flag Emergency Management facility on Andersen Air Force Base, Guam, with a period of performance not to exceed 30 days. Offerors must complete the fact sheet with details on a relevant past contract, including contract number, type, dollar value, description of work, and the customer or agency. The fact sheet also requires respondent identification information. Quotes are due by 4:00 PM Chamorro Standard Time on August 23, 2024, and will be awarded using Simplified Acquisition Procedures.
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FA524024Q3002 – 554 RHS ICF Debris Removal 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
FA524024Q3002 – 554 RHS ICF Debris Removal 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
File details come from the government source that posted it. Updated .