B1a_-_Attachment_2A.doc

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Firearm Sighting Systems
Solicitation number
HSBP1016R0031
Issued by

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Past Performance Data Form

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HSBP1016R0031 ATTACHMENT 2A:

Past Performance Contract Reference Data (2012-2016) Program or Task Order Title

Customer Name

Customer Address
Street

City/State

Zip

Tel.

Fax

Contract Points of Contact
Contractual:

Technical:

Name

Name

Title

Title

Organization

Organization

Address

Address

Tel.

Tel.

Fax

Fax

Email

Email

Contract Type

Contract Number

Task Order # if Applicable

Description of Supplies

Task Order Technical Point of Contact
Name

Title

Organization

Address

Tel.

Fax

Email

Period of Performance
Project Start Date

Original Completion Date

Estimated/Actual Completion Date

Explanation of Delay if Applicable

Contract Value
Original Value

Current Value

Estimated/Actual Completion

Date

Explanation of Cost Growth

Past Performance to be relatively recent (2012-2016) in order to be considered relevant.

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