Sec L-1 ATTACH 3 Past performance info.doc

SECTION L-1

ATTACHMENT 3

PAST PERFORMANCE INFORMATION

Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. Limit the number of past efforts submitted and the length of each submission to the limitations set forth at paragraph III (c), of Section L of this solicitation.

A.

Offeror Name (Company/Division):

CAGE Code:

DUNS Number:

(NOTE: If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes. Refer to the "Organizational Structure Change History" you provided as part of your Part III - Past Performance).

B.

Program Title:

C.

Contract Specifics:

1. Contracting Agency or Customer _____________________________________________

2. Contract Number

3. Contract Type __________________________

4. Period of Performance __________________________

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

6. Current Contract $ Value _________________ (Do not include unexercised options)

7. If Amounts for 5 and 6 above are different, provide a brief description of the reason ____________________________________________________________________________________________________________________________________________________________________________________________________

D.

Brief Description of Effort as __Prime or __Subcontractor

(Please indicate whether it was development and/or production, or other acquisition phase and highlight portions considered most relevant to current acquisition)

E.

Completion Date:

1. Original date:

2. Current Schedule: ____________________

3. Estimate at Completion: ____________________

4. How Many Times Changed: ____________________

5. Primary Causes of Change: ______________________________________________________________

F.

Primary Customer Points of Contact: (For Government contracts, provide current information on both individuals. For commercial contracts, provide points of contact fulfilling these same roles).

1. Program Manager and/or Name

Site Manager

Office

Address

Telephone

FAX Number

2. Contracting Officer:

Name

Office

Address

Telephone__________________

FAX Number_______________

G.

Address any technical (or other) area about this contract/program considered unique.

H.

For each of the applicable task areas under Mission Capability in Section M, illustrate/explain how your experience on this program applies to that task area.

I.

Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting.

J.

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. Include a numerical description of actual achievement of small business, veteran-owned small business, service-disabled veteran-owned small business, HUBZone small business, small disadvantaged business, and women-owned small business subcontracting versus contract goals.