Attachment_6_-_Past_Performance_Information_Form_(26_Sep_17).docx

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Financial Improvement & Audit Readiness (FIAR) Follow-on Support
Solicitation number
FA7014-17-R-5002
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Attachment 6 - Past Performance Information Form

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Text version

RFP FA7014-17-R-5002

Attachment 6

RFP FA7014-17-R-5002

FOR PAST PERFORMANCE VOLUME II

PAST PERFORMANCE REFERENCES THAT ADDRESSES PERFORMANCE CATEGORIES

Performance Category (Choose Applicable Performance Area):

_____Contract Management History _____Auditing _____Audit Advisory

Past Performance: The Offeror shall describe their past performance in relationship with the three performance categories: contract management history, auditing, and audit advisory. Each Offeror shall complete this form for each past performance submission. A final Past Performance Assessment Rating will be provided as outlined in Addendum to 52.212-2 – Evaluation – Commercial Items.

A.
OFFEROR IDENTIFICATION

1. Company/Division Name:

2. CAGE Code:

3. DUNS Number:

B.
PROGRAM TITLE
C.
CONTRACT SPECIFICS

1. Contracting Agency/Customer:

2. Contract Number:

3. Contract Type:

4. Period of Performance:

5. Original Contract $ Value:

(Base, do not include unexercised options)

6. Current Contract $ Value:

(Base plus excercised options, do not include unexercised options)

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

D.
BRIEF DESCRIPTION OF EFFORT AS PRIME SUBCONTRACTOR (Mark One)
E.
PRIMARY CUSTOMER POINTS OF CONTACT

(For Government contracts provide current information on all three individuals. For commercial contracts, provide points of contact fulfilling these same roles.)

1. Program/Site Manager:

a) Name

b) Office

c) Address

d) Telephone

e) E-Mail Address

2. Contracting Officer:

a) Name

b) Office

c) Address

d) Telephone

e) E-Mail Address

F.
ADDRESS ANY TECHNICAL (OR OTHER) AREA ABOUT THIS CONTRACT/ PROGRAM CONSIDERED UNIQUE
G.
DESCRIBE HOW CONTRACT REQUIREMENTS RELATE TO CONTRACT MANAGEMENT HISTORY, AUDIT, OR AUDIT ADVISORY SUPPORT (Use the criteria provided in RFP FA7014-17-R-5002 Attachment 2 – Addendum to 52.212-2, Tables 3, 4, and 5)

Relevancy to Requirement :

H.
PROBLEMS ENCOUNTERED AND CORRECTIVE ACTIONS TAKEN

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