Attach_15_-__Past_Performance_FACT_Sheet.docx

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Base Operations and Support Services (BOS) at Youngstown ARS, OH Federal contract opportunity
Solicitation number
FA6656-15-R-0002
Issued by
Department of the Air Force Reserve Command

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Attachment 15 - Past Performance FACT Sheet

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SOURCE SELECTION INFORMATION

SEE FAR 2.101 AND 3.104

FOR OFFICIAL USE ONLY

Past Performance FACT Sheet

(TO BE COMPLETED BY OFFEROR)

Each FACT Sheet is limited to 3 pages per contract

In the following format, the Offeror shall prepare a separate FACT Sheet for each relevant contract. See Proposal Preparation Instructions in Section L, Volume IV, Performance of this RFP for detailed instructions and limits on number and recency of contracts.

A. OFFEROR: (Including: (1) Name (Company/Division), (2) Address: (3) CAGE Code)

B. PROGRAM TITLE and CONTRACT NUMBER:

C. NAME AND LOCATION OF CONTRACTING ACTIVITY OR CUSTOMER:

D. PRIMARY POINTS OF CONTACT: (Offeror is responsible for exerting its best efforts to ensure that current information is provided for all individuals.)

Name and Office Symbol
Phone Number
FAX Number
E-Mail Address
1. Procuring Contracting Officer
DSN & Comm
DSN & Comm
2. Program Manager
DSN & Comm
DSN & Comm
3. Administrative Contracting Officer
DSN & Comm
DSN & Comm
4. Other (Please Specify)
DSN & Comm
DSN & Comm

E. CONTRACT TYPES (S) - PLEASE LIST ALL THAT APPLY (firm fixed price, time & materials, etc.)

F. CONTRACT $ VALUE:

1. Original Contract $ Value:
2. Current $ Value:
3. Estimate @ Completion:
4. Primary causes of change:
5. If Award Fee Contract, what percentages of the fee have been awarded in each of last 3 years?

G. PERIOD OF PERFORMANCE:

1. Original Schedule:
2. Current Schedule:
3. Estimate @ Completion:
4. How many times changed:
5. Primary causes of changes:

H. BRIEF DESCRIPTION OF EFFORT AS: _____PRIME_____SUBCONTRACTOR

As a part of this narrative description, please highlight portions considered most relevant to current acquisition. Provide information that demonstrates why this contract is relevant. Relevancy includes consideration of the scope, magnitude and complexity of a requirement. The Government is not bound by the offeror's opinion of relevance. The Government will perform an independent assessment of relevancy of the data provided or obtained.

I. MAGNITUDE: Provide annual dollars and full time equivalents (FTEs) by function for the functions in the contract identified on this FACT Sheet that are also in this RFP. For instance, if the contract identified on this FACT Sheet includes Supply and Fuels functions and the RFP also includes those functions, provide the annual $ value and FTEs for Supply and the annual $ value and FTEs for Fuels for the contract identified on this FACT Sheet

J. SIGNIFICANT ACCOMPLISHMENT: Provide information that highlights significant contract achievements and the results thereof.

K CORRECTIVE ACTION: Discuss, in a narrative, management actions employed in overcoming problems and the effects of those actions, in terms of improvements achieved or problems rectified. The narrative must contain evidence of your firm’s ability to isolate the root causes of problems and demonstrate corrective action taken to resolve the root causes. This may include a discussion of efforts accomplished by the offeror, or applicable Teaming Partner, to resolve problems encountered on prior contracts as well as past efforts to identify and manage program risk. For example, submit quality performance indicators or other management indicators that clearly support that an offeror, or applicable Teaming Partner, has overcome past problems.

L. JOINT VENTURE OR TEAMING ARRANGEMENT:

Provide complete information as to the arrangement; including any relevant and recent past performance information on previous joint venture/teaming arrangements with the same partner(s). If this is a first time joint venture/teaming effort, each party to the arrangement must provide a list of past and present relevant contracts. If any party has past experience in a joint venture or teaming arrangement, provide information about such previous joint venture/teaming efforts.

FA6656-15-R-0002 SOURCE SELECTION INFORMATION Page 2 of 2

SEE FAR 2.101 AND 3.104

FOR OFFICIAL USE ONLY

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