Attachment_F_-_PRESENT_AND_PAST_PERFORMANCE_INFORMATION_FORM.docx

DOCX document 21 KB Posted Mar 24, 2016

Attached to: Technical Support Group Support Services
Solicitation number: HDTRA1-16-R-0007
Issued by: Defense Threat Reduction Agency

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Attachment F Present and Past Performance Information

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File	Type	Posted
Attachment_G_-_PRESENT_AND_PAST_PERFORMANCE_CONTRACT_QUESTIONNAIRE.docx	DOCX document	Mar 24, 2016
Attachment_H_-_Personnel_Matrix.docx	DOCX document	Mar 24, 2016
RFP_Questions.pdf	PDF	Mar 24, 2016
RFP_Conformed_TSG.pdf	PDF	Mar 24, 2016
TSG_RFP_Amend_001_Mod.pdf	PDF	Mar 24, 2016
SOW_TSG_Statement_of_Work.pdf	PDF	Mar 24, 2016
Attachment_F_-_PRESENT_AND_PAST_PERFORMANCE_INFORMATION_FORM.pdf	PDF	Mar 4, 2016
Attachment_G_-_PRESENT_AND_PAST_PERFORMANCE_CONTRACT_QUESTIONNAIRE.pdf	PDF	Mar 4, 2016
Attachment_1-___SOW_TSG_Statement_of_Work.pdf	PDF	Mar 4, 2016
Exhibit_A-_CDRL.pdf	PDF	Mar 4, 2016
Attachment_3-CORE_plus_Critical_Tasks.pdf	PDF	Mar 4, 2016
Attachment_H_-_Personnel_Matrix.pdf	PDF	Mar 4, 2016
RFP_HDTRA1-16-R-0007.pdf	PDF	Mar 4, 2016
Attachment_I-_CAP_GFP_LIST.pdf	PDF	Mar 4, 2016
DD254.pdf	PDF	Mar 4, 2016
TSG_Support_Contract_Industry_Day_Questions_.pdf	PDF	Mar 4, 2016

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ATTACHMENT F

22 March 2016

PRESENT AND PAST PERFORMANCE INFORMATION FORM

FOR THE

DEFENSE THREAT REDUCTION AGENCY’S CONTINGENCY AND EXERCISE DEPARTMENT (DTRA J10CE) TECHNICAL SUPPORT GROUP PERSONNEL SUPPORT CONTRACT

SOLICITATION NUMBER: HDTRA116R0007

The information requested in this form is to assess a company’s present and past performance. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate form for each contract/program submitted.

1.	Offeror Name (Company/Division):	__________________________________________
		__________________________________________
	CAGE Code:	__________________________________________
	DUNS Number + 4:	__________________________________________

2. Program Title: __________________________________________

3.A. Contract Specifics: (For Prime contractor submissions) 3.A.1. Contract Information

a. Contracting Agency or Customer	__________________________________________
	__________________________________________
	__________________________________________
b. Prime Contract Number	__________________________________________
c. Contract Type	__________________________________________
d. Period of Performance	__________________________________________
f. Original Contract $ Value	________________ (Do not include unexercised options)
g. Current Contract $ Value	________________ (Do not include unexercised options)
h. Total Contract $ Value	________________ (Include unexercised options)
i. If amounts for (f) and (g) above are different, provide a brief description of the reason:
________________________________________________________________________________
________________________________________________________________________________
j. Percentage of effort performed by Prime			___________________
k. Number of Prime FTE’s performing on this effort		___________________
l. Number of Sub-Contracts for this effort			___________________

3.A.2. Points of Contact:

(For Government contracts, provide current information on all three individuals. For commercial contracts, provide points of contact fulfilling these same roles.)

a. Prime Program Manager:
Name	__________________________________________
Office	__________________________________________
Address	__________________________________________
	__________________________________________
Telephone	__________________________________________
E-mail	__________________________________________

b. Contracting Officer:
Name	__________________________________________
Office	__________________________________________
Address	__________________________________________
	__________________________________________
Telephone	__________________________________________
E-mail	__________________________________________

c. Administrative Contracting Officer (if applicable):
Name	__________________________________________
Office	__________________________________________
Address	__________________________________________
	__________________________________________
Telephone	__________________________________________
E-mail	__________________________________________

3.B Contract Specifics: (For Sub-contractor submissions) 3.B.1. Contract Information

	a. Contracting Agency or Customer	__________________________________________
of the Prime Contract	__________________________________________
		__________________________________________
	b. Prime Contractor	__________________________________________
	c. Prime Contract Number	__________________________________________
	d. Sub Contract Number	__________________________________________
	e. Sub Contract Type (T&M, LOE, etc)	__________________________________________
	f. Period of Performance	__________________________________________
	g. Original Sub Contract $ Value	________________ (Do not include unexercised options)
	h. Current Sub Contract $ Value	________________ (Do not include unexercised options)
	i. Total Sub Contract $ Value	________________ (Include unexercised options)
	j. If amounts for (f) and (g) above are different, provide a brief description of the reason:
	________________________________________________________________________________
	________________________________________________________________________________
	k. Percentage of Prime contract performed by your company		___________________
	l. Number of FTE’s your company provides for this effort		___________________

3.B.2. Points of Contact:

(For Government contracts, provide current information on all three individuals. For commercial contracts, provide points of contact fulfilling these same roles.)

a. Sub-contractor Program Manager:
Name	__________________________________________
Office	__________________________________________
Address	__________________________________________
	__________________________________________
Telephone	__________________________________________
E-mail	__________________________________________

b. Prime Contractor Program Manager:
Name	__________________________________________
Office	__________________________________________
Address	__________________________________________
	__________________________________________
Telephone	__________________________________________
E-mail	__________________________________________

c. Sub Contracting Officer:
Name	__________________________________________
Office	__________________________________________
Address	__________________________________________
	__________________________________________
Telephone	__________________________________________
E-mail	__________________________________________

d. Prime Contracting Officer:
Name	__________________________________________
Office	__________________________________________
Address	__________________________________________
	__________________________________________
Telephone	__________________________________________
E-mail	__________________________________________

c. Administrative Contracting Officer (if applicable):
Name	__________________________________________
Office	__________________________________________
Address	__________________________________________
	__________________________________________
Telephone	__________________________________________
E-mail	__________________________________________

The following question shall be completed for all references

1. Explain how your experience on this referenced contract/program demonstrates the operational, technical, training and exercise support requirements of this solicitation in accordance with the SOW. Utilize the Scope listed in paragraph 1.0 of the SOW as a guide.

File details come from the government source that posted it. Updated Nov 14, 2017.