Attachment 5 Past Performance Reference List.doc

Solicitation No. FA7012-10-R-0020

Attachment No. 5

ATTACHMENT #5: PPRL

FA7012-10-R-0020

ATTACHMENT #5: PAST PERFORMANCE REFERENCE LIST (PPRL)

PAST PERFORMANCE REFERENCE LIST (PPRL)

Provide the information requested in this form for each citation identified in the Past Performance Citation Reference Sheet. Provide frank, concise comments regarding performance on the citations you identify. Provide a separate completed form for each citation submitted.

A. Offeror Name (Company/Division):

Cage Code:

DUNS Number:

(NOTE: If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes below. Refer to the "Organizational Structure Change History" you provided as part of your Past Performance Volume).

B. Program Title:

C. Contract Specifics:

1. Contracting Agency or Customer:

2. Citation Number:

3. Contract Type:

4. Period of Performance:

5. Original Contract $ Value (Do not include unexercised options):

6. Current Contract $ Value (Do not include unexercised options):

7. If the amounts for 5 and 6 above are different, provide a brief description of the reason below.

8. Original completion date:

9. Current scheduled completion date:

10. Estimated completion date:

11. Number of contract changes:

12. Enter primary cause for contract changes below:

D. Enter below a brief description of effort as Prime or Subcontractor.

E. Primary customer points of contact. (For Government contracts/orders, provide current information on all three individuals).

Name

Office

Address

Telephone

FAX #

E-Mail

F. Address below any technical (or other) area about this citation considered unique.

G. Describe the relevancy to the evaluation factors in Section M of subject solicitation for which this citation applies. Illustrate how your experience on this program applies.