FA706025Q0016 - Attachment 6 - Past Performance Fact Sheet.pdf

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PKA - 11 CES Automatic Generator Monitoring Devices
Solicitation number
FA706025Q0016
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About this file

This is a Past Performance Fact Sheet template (Attachment 6) for federal contract opportunity FA706025Q0016 related to automatic monitoring devices for emergency generators at the 11th Civil Engineer Squadron (11 CES). The document serves as a standardized form for offerors to provide detailed information about their relevant past contract performance, which will become Source Selection Information under FAR regulations once completed.

The fact sheet requires offerors to complete three main sections: contract identification details including contractor information, CAGE code, contract number, type, program description, performance periods, and dollar values; customer/agency identification covering the contracting organization, service geography, and contract scope; and respondent identification requiring contact information for reference personnel including names, titles, phone numbers, positions, tenure on the contract, and additional points of contact. The form must capture whether the referenced contract was competitively awarded and the contractor's role as prime, subcontractor, or key personnel. All information provided will be treated as Controlled Unclassified Information and requires the offeror's signature upon completion.

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FA706025Q0016 – 11 CES Automatic Monitoring Devices for Emergency Generators Attachment 6: Past Performance Fact Sheet

Controlled Unclassified Information When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Controlled Unclassified Information Page 1 of 2

Section 1: Contract Identification

A. Contractor (Company/Division):

B. Contractor Cage Code:

C. Contract Number:

D. Contract Type (e.g., FFP, FPIF, CPIF, CPFF, etc.):

E. Program Title:

F. Brief Program Description:

G. Period of Performance

1. Original Schedule (assuming all options exercised):

Beginning Date through

2. Current Schedule (assuming all options exercised):

Beginning Date through

3. Reason for difference (if applicable):

H. Contract Dollar Value

1. Original maximum contract dollar value (assuming all options exercised): $

2. Current maximum contract dollar value (assuming all options exercised): $

3. Reasons for difference between original and current contract dollar value (if applicable):

I. Description of work performed:

J. How is this project relevant?

K. Was this a competitively awarded contract? ☐ Yes ☐ No

L. Contractor’s Role: ☐ Prime Contractor ☐ Subcontractor ☐ Key Personnel

TO BE COMPLETED BY OFFEROR

http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836

FA706025Q0016 – 11 CES Automatic Monitoring Devices for Emergency Generators Attachment 6: Past Performance Fact Sheet

Controlled Unclassified Information When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Controlled Unclassified Information Page 2 of 2

Section 2: Customer or Agency Identification

A. Customer or agency name:

B. Customer or agency description (if applicable):

C. Geographic description of services under this contract (i.e., local, nationwide, worldwide, other Commands):

Section 3: Respondent Identification

A. Respondent’s name:

B. Respondent’s title:

C. Respondent’s phone number / fax number / e-mail address:

D. Respondent’s position (e.g., Program Manager, PCO/ACO, etc.):

E. Length of time (number of years/months) respondent worked on subject contract and description of responsibility/position/role:

F. Other suggested points of contact:

Signature of Offeror http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/02.htm#P10_602 http://farsite.hill.af.mil/reghtml/regs/far2afmcfars/fardfars/far/03.htm#P41_5836

Section 1: Contract Identification
Section 2: Customer or Agency Identification
Section 3: Respondent Identification

File details come from the government source that posted it. Updated .