Attachment 04 - Past Performance Fact Sheet.docx
DOCX document 34 KB Posted
- Solicitation number
- FA524024R0004
About this file
This document contains a past performance fact sheet template to be completed by offerors responding to Solicitation FA524024R0004 for an indefinite delivery indefinite quantity contract for airfield paving at Department of the Air Force Pacific Air Forces bases. Key details include: the template collects information on relevant past contracts such as contract number, type, description, period of performance, dollar value, contractor and customer details, performance issues if any, and respondent identification for reference checks. It requests description of work performed, explanation of relevance, corrective actions taken if applicable, and contractor and customer role on the past contract. This will be used to evaluate offerors' past performance on similar efforts.
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Controlled Unclassified Information When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.
Solicitation FA524024R0004
Section L Attachment: Past Performance Fact Sheet
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. Explain corrective actions taken in the past, if any, for substandard performance problems, such as cost overruns, extended performance periods, numerous warranty calls, etc.
L. Was this a competitively awarded contract? ☐ Yes ☐ No
M. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel
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
Controlled Unclassified Information Page 2 of 2
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