HSBP1016R0037-Att(5)_PPI.pdf

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Acquisition and Installation of a Radar and Tower
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HSBP1016R0037
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Section J Attachment 5 Past Performance Form

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Air and Marine Operations / Domain Awareness Standards and Analysis In-Fill Radar Procurement Attachment 5

Page I Source Selection

Sensitive-For Official Use Only

APPENDIX B: 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 Services

Page II

Program or Task Order Title

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

Small Business Subcontracting

Levels achieved against subcontract plan goals (if applicable) and as percentage of contract value

Note: This form will be included in the Request for Proposals to facilitate the past performance evaluation. Past Performance to be relatively recent (2012-2016) in order to be considered relevant.

Page III

APPENDIX C: PAST PERFORMANCE RELEVANT EXPERIENCE FORM

Company Name: ____________________________________

Referenced Contract: ____________________________________

Instructions: Offerors will complete the following worksheet for each contract provided as a reference.

ITEM DESCRIPTION YES/

NO QUANTITY

1 Did you serve as the prime contractor (rather than a subcontractor) for the referenced effort?

2 What were the total contract dollar value and the term of the contract, including all option periods? $________;

_____years

3 Did you provide a commercial radar system?

Did you provide a tower or similar foundational structure to mount the radar antenna? At what height did you mount the antenna?

5 Did you install the radar system? If so, was it in a fixed location (rather than a mobile platform)?

6 Did you install the tower? If so, describe the type of tower, height, weight limitations, etc.

7 Did you provide connectivity for the radar data? If so, provide the details.

Did you tune the radar for optimal performance of the air picture based on local geographic and atmospheric conditions?

9 Did you provide and install backup power? If so, provide the details.

Did you provide life cycle support for obsolescence management, routine maintenance, and/or engineering and system restoration?

11 For any life cycle support you provided, provide the details of that support plan.

12 Did you provide a demonstration plan based on user acceptance criteria and in support of system acceptance?

13 Did you provide training in the radar system’s theory of operations for technicians and operators?

Note: This form will be included in the Request for Proposals to facilitate the past performance evaluation.

Appendix B: Past Performance Contract Reference Data (2012-2016)
Appendix C: Past Performance Relevant Experience Form

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