6 - L1 -- Past Performance Info.doc

ATTACHMENT L1

SECTION L

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 to five and the length of each submission to three pages each.

A. Offeror Name (Company/Division): _____________

CAGE Code:

DUNS Number:

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. Estimated Completion:

4. How Many Times Changed: _______________

5. Primary Causes of Change:

F. Primary Customer Points of Contact: (For government contracts, provide current information on all three 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

Fax Number _______________

3. Administrative

Contracting Officer

Fax Number ________________

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

H. For each of the applicable subfactors under the Mission Capability factor in RFP provision 52.212-2 Evaluation – Commercial Items, illustrate how this effort is relevant to this acquisition and how your experience on this program applies to that subfactor.

I. Specify, by name, any key individual(s) who participated in this program and are proposed to support the instant acquisition. Also, indicate their contractual roles for both acquisitions.

J. Describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. Also, estimate the percentage of the total proposed effort to be performed by this entity and whether this entity will be performing as the prime, subcontractor, or a corporate division related to the prim (define relationship).