Attachment 15 - MACC II Past Performance Information Sheet.docx

PAST PERFORMANCE INFORMATION SHEET

Contractor shall provide the information requested in this form for each contract submitted. Comments shall be frank and concise regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. If information is provided relevant to task order type contracts, offerors must provide specific task order numbers, in addition to the basic contract number. There is no need to reformat the Submittal Sheets; they should be submitted as is and without changes in color, font, text boxes, tables, etc.

A. Offeror: Name (Company/Division): ____________________ ________________ CAGE Code: _________________ DUNS Number:

B. Project Title: __________________

C. Contract Specifics:

1. Contracting Agency or Customer: _______________________________________

2. Contract Number: ____________________________________________________

3. Contract Role: ____ Prime or ____ Subcontractor

4. Contract Type: ____________________

5. Original Contract $ Value: _________________ (Do not include unexercised options.

For IDIQ contracts, only include dollar values for work already performed)

6. Period of Performance: __

7. Original Completion Date (If Applicable): __________________________________

D. Primary Customer Points of Contact:

Name

Org/Company

Address

Telephone e-mail

Multiple Award Construction Contract II (MACC II) Solicitation No: FA8201-11-R-0008

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E. Performance Issues/Concerns:

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F. Corrective Action Taken on Performance Issues/Concerns:

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G. Current Performance Status:

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