J-L3 Past Performance Data Sheet amend 0004.pdf

Source Selection Information - See FAR 2.101 and 3.104

HQ0034-19-R-0073

Logistics Support Services

J-L3 PAST PERFORMANCE DATA

(Note: Offerors must use this form, and are not to change the spatial structure of this form, i.e. borders, block size, etc.)

1. Complete Name of Reference (Government agency, commercial firm, or other organization)

2. Complete Address of Reference

3. Contract Number or other control number

4. Date of contract

5. Date work was begun

6. Date work was completed

7. Contract type, initial contract price, estimated cost and fee, or target cost and profit or fee

8. Final amount invoiced or amount invoiced to date

9a. Reference/Technical point of contact (name, title, address, telephone

no. and email address)

9b. Reference/Contracting point of contact (name, title, address, telephone no. and email address)

10. Location of work (country, state or province, county, city)

11. Current status of contract (choose one):

[ ] Ongoing [ ] Complete [ ] Terminated for Convenience [ ] Terminated for Default [ ] Other (explain)

12. Provide brief information describing the contract and the relevancy of the effort to be performed in accordance with the Performance Work Statement (PWS) and requirements of the solicitation. Provide an estimated % of relevancy of the referenced contract to the requirements set forth in this solicitation.

Relevance shall Logistics Support Services. Relevance can be discussed in further detail on the attached summary description as set forth in block 14 below.

13a. Did this contract require a Small Business Subcontracting Plan pursuant to FAR 52.219-9? Yes ____, No_____.

13b. If “Yes” to 13a, have you regularly submitted SF 294/295 reports on time? Yes ____, No_____.

13c. Attach a copy of your most recently submitted SF 294/295.

14. Provide a summary description of contract work, not to exceed three (3) pages in length. Each page shall be 8 ½ x 11 inches, single-spaced, no less than 11-point font Times New Roman, with one (1) inch margin requirements. Bolding, underlining, and italics may be used to identify topic demarcations or points of emphasis. Graphic presentations, including tables, though not subject to the same font size and spacing requirements, shall have spacing and text that is easily readable. Describe the nature and scope of work, its relevancy to this requirement’s performance work statement (PWS), include the pws section(s), and a description of any problems encountered and your corrective actions. Attach the explanation to this form.