Past Performance Information Sheet 14 March 2012.docx

PAST PERFORMANCE INFORMATION SHEET

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.

B. Program Title: __________________ C. Contract Specifics:

1. Contracting Agency or Customer____________________________________

2. Contract Number_______________________

3. Contract Role and Comments: ___ 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

Office/Company

Address

Telephone e-mail

Solicitation: FA8222-12-R-0005

PMEL

Page 1 of 1 14 March 2012 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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