Attachment 9 Past Performance Information.docx
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- Attached to
- AFTAC Expert Scientific & Analytical Support (ESAS) Federal contract opportunity
- Solicitation number
- FA7022-11-R-0023
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ATTACHMENT 9 (DRAFT) PAST PERFORMANCE INFORMATION
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PAST PERFORMANCE INFORMATION
Provide the information requested in this form for each contract/program (citation) being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program 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. 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. Contract Number | __________________________ | |
| 3. Contract Type | __________________________ | |
| 4. Period of Performance | __________________________ | |
| 5. Initial Contract Cost/Price | _________________ 6. Current/final Contract Cost/Price _________________ |
7. Annual Contract $ Value _________________
8. If Amounts for 5 and 6 above are different, provide a brief description of the reason __________________________________________________________________________________________________________________________________________________________________________________________________________
D. Brief Description of Effort as __Prime or __Subcontractor (Please indicate whether it was development and/or production, or other acquisition phase and highlight portions considered most relevant to current acquisition)
E. Completion Date:
| 1. Original date: | ____________________ | ||
| 2. Current Schedule: | ____________________ | ||
| 3. Estimate at Completion: | ____________________ | ||
| 4. How Many Times Changed: | ____________________ | ||
| 5. Primary Causes of Change: | ________________________________________________________________ |
F. 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 Manager: | Name | ____________________ | ||
| Office | ____________________ | |||
| Address | ____________________ | |||
| ____________________ | ||||
| Telephone | ____________________ |
| 2. Contracting Officer: | Name | ____________________ | ||
| Office | ____________________ | |||
| Address | ____________________ | |||
| ____________________ | ||||
| Telephone | ____________________ |
| 3. Administrative | Name | ____________________ | ||||
| Contracting Officer | Office | ____________________ | ||||
| Address | ____________________ | |||||
| ____________________ | ||||||
| Telephone | ____________________ |
G. Address any technical (or other) area about this contract/program considered unique.
H. For each of the applicable subfactors under the Technical Capability factor in Section M, illustrate how your experience on this program applies to that subfactor.
I. Specify, by name, any key individual(s) who participated in this program and are proposed to support the instant acquisition. Also, indicate their contractual roles for both acquisitions.
J. Include relevant information concerning your compliance with subcontracting plan goals for small disadvantaged business (SDB) concerns, monetary targets for SDB participation.
(If FAR 52.219-8, Utilization of Small Business Concerns, is included in Section I of the solicitation, insert the paragraph below to comply with the past performance evaluation requirement of DFARS 215.305(a)(2).)
K. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting.
(If FAR 52.219-9, Small Business Subcontracting Plan, is included in Section I of the solicitation or if the solicitation involves bundling, insert the paragraph below to comply with the past performance evaluation requirement of DFARS 215.305(a)(2) or FAR 15.304(c)(3)(iii), respectively.)
L. Identify whether a subcontracting plan in accordance with FAR 52.219-9, Small Business Subcontracting Plan, was required by the contract you are submitting. If one was required, identify, in percentage terms, the planned versus achieved goals during contract performance. If goals were not met, please explain.
M. Describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. Also, estimate the percentage of the total proposed effort to be performed by this entity and whether this entity will be performing as the prime, subcontractor, or a corporate division related to the prime (define relationship). (This is especially important if requesting the Past Performance volume early, as the PCAG will not have any other source for this information, which is critical to their relevancy determination)
(Insert and tailor the paragraph below to obtain Earned Value Management data on prior contracts.)
N. Identify any Earned Value Management (EVM) or similar metrics required to track contract performance. If such metrics were required for this contract, provide the summary level data.
Attachment 9
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