HC1047-16-R-4008_-_Attachment_3_-_Past_Performance_Information_Template.docx

ATTACHMENT 3

PAST PERFORMANCE INFORMATION

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 Section L of this solicitation.

(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:

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:

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.)

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.

M. 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 prime (define relationship).