Amd 2 - RFP Attachment 3 - Past Performance Information Sheet.docx
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- OSEE 2 Re-compete Federal contract opportunity
- Solicitation number
- FA7022-22-R-0006
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RFP Attachment 3 – Past Performance Information Sheet
FA7022-22-R-0006
PAST PERFORMANCE INFORMATION SHEET
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. Limit the number of citations submitted and the length of each submission to the limitations set forth at paragraphs L.2.1 and Table L2.2 – Proposal Organization, respectively, of Section L, Para L.5.0 – General Information, of the solicitation.
Instructions: Complete the below table of contract contacts for applicable past or present contracts which will be recent (within the last five (5) years from date of issuance of RFP) and relevant to the requirements as found in the solicitation. For less than three (3) entries within the table, the offeror will place N/A in the associated fields. The offeror shall submit this sheet as part of the offer. The offeror shall not include any completed questionnaires in Volume IV - Pricing.
* Note: Do not leave any of the above information blank. Please ensure the information is accurate. This information may also be used in determining responsibility.
| Prime/Sub |
| Contract No. |
| Contract Name |
| POC Name |
| Position |
| Phone |
| Prime |
| EXAMPLE |
FA7037-16-C-0015
| Widget Services |
| Bob Jones |
| Program Manager |
| bob@us.af.mil |
| 210-555-1000 |
By my signature below, I certify that each of the above listed POCs is accurate for purposes of past performance evaluation in Solicitation No. FA7022-22-R-0006.
Printed Name (Replace with actual name) Printed Position (Replace with actual position)
Date
| A. | Offeror Name (Company/Division): | ____________________ |
| CAGE Code: ____________________ | ||
| Unique Entity ID: ____________________ |
(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. Original Contract $ Value _________________ (Do not include unexercised options) | |
| 6. Current Contract $ Value _________________ (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 or __Subcontractor |
(Please indicate whether it was development and/or production, or other acquisition phase (or Service) 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 and/or Site Manager:
| Name | ____________________ | |
| Office | ____________________ | |
| Address________________________________________ | ||
| Telephone__________________ | ||
| Email Address_______________ |
2. Contracting Officer:
| Name | ____________________ | |
| Office | ____________________ | |
| Address________________________________________ | ||
| Telephone__________________ | ||
| Email Address_______________ |
3. Administrative Contracting Officer:
Name ____________________ Office ____________________ Address________________________________________
| Telephone__________________ |
| Email Address_______________ |
G. Address any technical (or other) area about this contract/program considered unique.
H. For each of the applicable sub-factors under the Technical factor in Section M, illustrate how your experience on this program applies to that sub-factor.
| I. | Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting. |
| J. | Identify whether a 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. |
| K. | 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). |
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