Attachment_5-HAF_Customer_Past_Performance_Form.docx

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AFICA HAF Workflow Team Management
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FA8052-16-R-0026
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Attachment 5- Customer Past Performance Form

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PAST PERFORMANCE INFORMATION FORM

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 2.101 & 3.104

SECTION 1: CONTRACT IDENTIFICATION

A. Contractor:________________________________________________________________________

B. Contractor Cage Code: _________________________________

C. Contract number: ______________________________________

D. Contract type: ______________________________

E. Was this a competitive contract? Yes _____ No _____

F. Period of performance: _________________________________________________________

G. Current/final contract cost: $_______________________________

H. Reasons for differences between initial contract cost and final contract costs: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I. Description of service provided:

SECTION 2: NARRATIVE SUMMARY OF RELEVANT INFORMATION

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