Attachement 1 Past Performance Info Form.pdf

ATTACHMENT L1

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.

1. Offeror Name (Company/Division):

CAGE Code:

DUNS Number:

2. Program Title:

3. Contract Specifics:

a. Contracting Agency or Customer

b. Contract Number

c. Contract Type

d. Period of Performance

e. Initial Contract Cost/Price

f. Current/final Contract Cost/Price

g. Annual Contract $ Value

h. If Amounts for E and F above are different, provide a brief description of the reason

4. Brief Description of Effort as __Prime or __Subcontractor

(Indicate whether it was development and/or production, or other acquisition phase and highlight portions considered most relevant to current procurement)

5. Completion Date:

a. Original date:

b. Current Schedule:

c. Estimate at Completion:

d. How Many Times Changed:

e. Primary Causes of Change:

6. 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.)

a. PROGRAM OFFICE

Program Manager/COR Name:

Program:

Email Address:

Telephone:

b. CONTRACTING

Contracting Officer:

Contracting Office:

Email Address:

Telephone:

7. Address any technical/management (or other) area about this contract/program considered unique.

8. 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.

9. 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.

10. Include relevant information concerning your compliance with subcontracting plan goals for small disadvantaged business (SDB) concerns, monetary targets for SDB participation, and notifications submitted under FAR 52.219-25, Small Disadvantaged Business Participation Program—Disadvantaged Status and Reporting.

11. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting.

12. Identify whether a subcontracting plan in accordance with FAR 52.219-9, Small Business Subcontracting Plan, was required by the contract you are submitting. If one was required, identify, in percentage terms, the planned versus achieved goals during contract performance. If goals were not met, please explain.

13. 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).