FA5613-13-R-0007_Sect_J _Atch_5_-_Past_Performance_Info_Document.doc

FA5613-13-R-0007

Section J, Attachment 5 Past Performance Information Document

Instructions: Complete this form for each contract/program submitted for evaluation. Provide frank, concise comments regarding your performance on the contracts identified. Comments on this form shall be 10 font or greater. The complete form will count towards the 50 page maximum for Volume II, Past Performance.

1. Contractor Information

2. Contract/ Task Order (TO) Information

Contracting Agency/Customer

Contract Type (Please check one box from each column)

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Firm-Fixed Price

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Cost Plus Fixed Fee

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Independent Contract

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Labor Hour

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IDIQ Contract*

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Time and Materials

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Other, Specify:

Place of Performance (Please check one box from each column)

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Single Location

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Multiple Locations

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CONUS

Specify City/State:

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OCONUS

Specify Country:

*If the contract is an IDIQ, list all other task order numbers performed under the IDIQ contract as an attachment to this PPID. The attachment will not count against the volume page limit.

3a. Describe the nature or portion of work performed by this company.

3b. This work performed as a:

Prime contractor

Subcontractor

Corporate Division

Team/Joint Venture

3c. What was the percentage of work performed by this company?

3d. If you were not the Prime, provide Prime Contractor’s information:

4. Reference contact information: Provide two (2) points of contact most knowledgeable of the submitted contract. For Government contracts, points of contacts may include Program Manager, Project/Task Manager, Contracting Officer, and Administrative Contracting Office. For commercial contracts, provide two (2) points of contact fulfilling these same roles.

5. Identify the scope summary of the contract or task order submitted as it relates to the USAFE A&AS III scope.

6. Provide a brief description of the service provided under this contract. Include details that will indicate specific efforts of relevant personnel (i.e., Program Manager, Task Order Manager, etc.). Identify problems encountered and efforts taken to resolve problems, as well as efforts to identify and manage program risks. Clearly demonstrate management actions employed in overcoming problems and the effects of those actions in terms of improvements achieved or problems solved.

7. Describe in detail how your experience on this program applies to the relevancy criteria identified in Section M. Past performance on work for commercial customers, state and local governments, and subcontracts will be evaluated.