15 - Section L - FINAL Attachment 15 Past Performance Facts Sheet

FA8637-10-R-6000-0008

Section L, Attachment 15

30 April 2012

PAST PERFORMANCE “FACTS SHEET”

(To Be Completed by Offeror and emailed directly in support of the RFP)

When filled in, this document is Source Selection Sensitive Information IAW FAR 3.104

Request the Offeror complete a separate “Facts Sheet” for each relevant contract.

See Section L of this Request for Proposals (RFP) for detailed instructions and limits on number, relevancy and recency of contracts. Offeror is requested to provide frank, concise comments regarding past performance on the program identified below.

A. OFFEROR Including: (1) Name [Company/Division], (2) Address, (3)

Commercial and Government Entity (CAGE) Code: ______________________

B. PROGRAM TITLE and CONTRACT NUMBER: ___________________

C. NAME OF CONTRACTING ACTIVITY OR CUSTOMER: ____________

D. CONTRACT TYPE (S) – List all that apply (e.g., firm fixed price, time & materials): ________________________________________________________

E. CONTRACT $ VALUE:

1. Initial or Original Contract $ Value: _________________________

2. Current $ Value: ________________________________________

3. Estimated Final $ Value: _________________________________

4. Primary causes of changes between initial contract value and (estimated

or) final contract value:

F. BRIEF DESCRIPTION OF EFFORT AS: ________________________

(PRIME or SUBCONTRACTOR)

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(As a part of this narrative description of the offeror’s efforts, please highlight portions considered most relevant to the current acquisition; addressing the SUB-FACTOR level in the current acquisition as to how and to what extent each sub-factor for this RFP relates to the program identified by the offeror in B above. (See RFP Section M, paragraph 2.3, for Mission

Capability.)

The Government is not bound by the offeror's opinion of relevancy. The

Government will perform an independent assessment of relevancy of the data provided or obtained.

G. PERIOD OF PERFORMANCE:

1. Original Schedule: _________________________________________

2. Current Schedule: _________________________________________

3. Estimate @ Completion: ____________________________________

4. How many times changed: ___________________________________

5. Primary causes of changes: __________________________________

H. PRIMARY POINTS OF CONTACT:

(The Offeror is responsible for exerting its best efforts to ensure that current information is provided for all individuals.)

Name and Office Symbol Phone Number FAX Number

1. Procuring Contracting Officer DSN & Comm. DSN & Comm.

2. Program Manager DSN & Comm. DSN & Comm.

3. Administrative Contracting

Officer

DSN & Comm. DSN & Comm.

4. Other (Please Specify) DSN & Comm. DSN & Comm.

I. Specify, by name, key individual(s) who will participate in the proposed effort under acquisition who also participated in the program identified in B. above and indicate their contract role. Describe how participation of these key personnel contributed to the success of the previous effort and how this indicates probability of success on the proposed effort.

J. Use this space to address any aspect of this program considered unique.

Describe quality awards or certifications that indicate the Offeror possesses a high-quality process for developing and delivering the product/service required.

K. Summarize contract issues relative to the number and severity of quality deficiencies recorded/contract discrepancy reports issued, cure notices, show cause letters, termination for default or cause, disputes, claims, latent defects, and corrective actions taken.

L. Include relevant information concerning your compliance with Federal

Acquisition Regulation 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting.

M. 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.