Atch 9 - Past Performance Information for GSM-O.pdf

HC1028-10-R-2000 - Attachment 9

PAST PERFORMANCE INFORMATION

Provide the information requested in this form for each contract/program (citation) 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 citations submitted and the length of each submission to the limitations set forth in Section L, paragraphs 7 and 8.3.5 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 procurement is impacted by any company/corporate organizational change, note those changes. Refer to the "Organizational Structure Change History" you provided as part of your Past Performance Volume.)

B. Program Title: ____________________

C. Contract Specifics:

1. Contracting Agency or Customer

2. Contract Number __________________________

3. Contract Type __________________________

4. Period of Performance __________________________

5. Initial Contract Cost/Price __________________________

6. Current/final Contract Cost/Price _____________________

7. Annual Contract $ Value __________________________

8. 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 procurement)

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 all three individuals. For commercial contracts, provide points of contact fulfilling these same roles.)

1. Program Manager: Name ____________________ Office ____________________ Address ____________________ Telephone ____________________

2. Contracting Officer: Name ____________________ Office ____________________ Address ____________________ Telephone ____________________

3. COR: Name ____________________ Office ____________________ Address ____________________ Telephone ____________________

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

H. For each of the applicable subfactors under the technical/management factor in Section M, illustrate how your experience on this program applies to that subfactor.

I. Specify, by name, any key individuals who participated in this program and are proposed to support the procurement, and what their projected contractual role will be.

J. Include relevant information concerning your compliance with subcontracting plan goals for small disadvantaged business (SDB) concerns, monetary targets for SDB participation, and notifications submitted under FAR 52.219-25, Small Disadvantaged Business Participation Program—Disadvantaged Status and Reporting.

K. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting and the planned versus achieved goals during contract performance.

L. Identify past performance that was conducted a maximum of three years prior to issuance of the solicitation, or for ongoing efforts, must have been in place at least nine months before the proposal due date. (Recency)

M. Identify past experience that provides sufficient evidence indicating how closely the services performed under those contracts relate to the technical/management subfactors and cost/price factors (Relevance)

N. Identify past performance of high capacity optical network solutions with a broad geographic CONUS and OCONUS scope, as related to the technical/management subfactors and cost/price factor