Section_L _Attachment_3_-_Past_Performance_Information_Sheet.docx
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- Attached to
- ENCOREIII DRAFT RFP Federal contract opportunity
- Solicitation number
- HC1028-15-R-0030
- Issued by
- Defense Information Systems Agency
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Summary for Past Performance Information Sheets
| Ref |
| Name |
| Contract Number |
| Contract Type |
| Period of Performance |
| Contract Dollar Value |
PAST PERFORMANCE INFORMATION SHEET
Provide the information requested in this form for each contract reference. 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 references submitted and the length of each submission to the limitations set forth at paragraphs 5.3 and 2.5.1, respectively, of Section L of this solicitation.
| 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. 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 both individuals.)
| 1. Program Manager: | Name | ____________________ | ||
| Office | ____________________ | |||
| Address | ____________________ | |||
| ____________________ | ||||
| Telephone | ____________________ |
| 2. Contracting Officer: 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 instant procurement. Also, indicate their contractual roles for both procurements.
J. Describe the nature or portion of the work on the past performance reference 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 prime (define relationship).
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