Attachment_J-1a_Offeror's_Past_Performance_Data.pdf

Attachment J-1a: OFFEROR’s PAST PERFORMANCE DATA

The purpose of this form is to provide supporting project information for Factor I, Past Performance. This form is to be completed by the Offeror. Provide frank, concise comments regarding your performance on the contracts identified. Provide a separate completed form for each contract/project submitted. Limit the number of past efforts submitted in accordance with Section L, Information to Offerors.

A. Offeror Name (Company/Division): _________________________________________________________

CAGE Code: _________________________________________________________

DUNS Number: _________________________________________________________

B. Project Title: _________________________________________________________

C. Contract Number: _________________________________________________________

Award Date: _________________________________________________________

Completion Date: _________________________________________________________

Is project at least 80% complete: Yes No

Award Amount: _________________________________________________________

Final Contract Price (including all options): ___________________________________________________

D. On this project, your firm was the Prime or SubContractor

If your firm was a subcontractor on this project, identify the prime: _________________________________

If a Design-Build Project, identify the Lead Design Firm: _________________________________________

E. Type of Contract: Design-Bid-Build Design-Build Other (explain):

F. Primary Customer Points of Contact: (For Government contracts provide current information on both individuals. For commercial contracts, provide points of contact fulfilling these same roles).

Program Office POC/COR:

Name _________________________________________________________

Company/Agency ________________________________________________

Address ________________________________________________________

Telephone ______________________________________________________

Email __________________________________________________________

Contracting Officer:

Name _________________________________________________________

Company/Agency ________________________________________________

Address ________________________________________________________

Telephone ______________________________________________________

Email __________________________________________________________

Attachment J-1a: OFFEROR’s PAST PERFORMANCE DATA

G. Description of Effort

1. If this project was performed by key personnel, a subsidiary, satellite office or parent company, explain how entity will participate in this contract.

2. Provide a detailed description of the project:

3. Provide a detailed description of what work your firm self performed on the project:

4. Was the project completed ahead or on schedule? If not, why?

5. Was the project completed without safety related incidents? If not, provide a description of the incidents and the resultant time lost. Also include what corrective actions, if any, were taken.

6. Attach any legible copies or photographs of industry awards/special recognitions received for this project.