TRLS_Sec_J-Atch_L-2_Past_Performance_Info_Form_Final_RFP.PDF

PAST PERFORMANCE INFORMATION FORM

THREAT REDUCTION LOGISTICS SERVICES

SOLICITATION NUMBER: HDTRA1-17-R-0027

Provide the information requested in this form, for each contract/program being assessed for past or present 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. Contract Specifics:

a) Contracting Agency or Customer __________________________________________

b) Contract Number __________________________________________

c) Contract Type __________________________________________

d) Role (check one) Prime_______ Sub_______

e) Period of Performance __________________________________________

f) Number of Clients Supported ________________ (i.e. 300 person organization)

g) Original Contract $ Value ________________ (Do not include unexercised options)

h) Current Contract $ Value ________________ (Do not include unexercised options)

i) Total Contract $ Value ________________ (Include unexercised options)

j) If amounts for (g) and (h) above are different, provide a brief description of the reason:

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TRLS [HDTRA1-17-R-0027] Section J, Attachment L-2

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4. 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.)

Program Manager

Name __________________________________________

Office __________________________________________

Address __________________________________________

Telephone __________________________________________

E-mail __________________________________________

Contracting Officer

Office __________________________________________

Address __________________________________________

Administrative Contracting Officer (if applicable)

Office __________________________________________

Address __________________________________________

Contracting Officer Representative (if applicable)

Office __________________________________________

Address __________________________________________

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5. Provide a brief description of the effort.

6. Illustrate how your experience on this referenced contract/program relates to the scope of your proposed effort on this solicitation. Please utilize the scope areas identified in the ID/IQ SOO, as your point of comparison.

7. Identify principle challenges you have encountered in executing previous/current efforts as related to this proposal and how you were able to mitigate and/or overcome them.

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