Exhibit 21 - FACT Sheet.pdf

Present/Past Performance “FACTS Sheet”

(TO BE COMPLETED BY OFFEROR)

Request the offeror complete a separate FACTS Sheet for each relevant contract. Offeror is requested to provide frank, concise comments regarding present/past performance on the program identified in B. below.

A. OFFEROR: (Including: (1) Name (Company/Division), (2) Address: (3) CAGE Code)

B. PROGRAM TITLE and CONTRACT NUMBER:

C. NAME OF CONTRACTING ACTIVITY OR CUSTOMER:

D. CONTRACT TYPE(S) – PLEASE LIST ALL THAT APPLY (firm fixed price, time & materials, etc.)

E. CONTRACT $ VALUE:

1. Original contract $ value and current $ value:

2. Estimated value at completion and primary causes of changes:

3. If Award Fee Contract, what percentages of the fee have been awarded in each of last 3 years?

F. BRIEF DESCRIPTION OF EFFORT AS: ______ PRIME _ SUBCONTRACTOR

1. As a part of this narrative description, highlight portions considered most relevant to the current acquisition; addressing how and to what extent the proposed effort relates to the program identified in B. above.

Completion of the relevancy grid as identified in paragraph N. below will supplement the data provided in response to this paragraph.

2. This paragraph shall also include details to support the offeror’s record for on time delivery, technical quality and cost control for this effort identified in paragraph B. above.

PLEASE NOTE: The Government is not bound by the offeror's opinion of relevancy. The Government will perform an independent assessment of relevancy of the data provided or obtained.

G. PERIOD OF PERFORMANCE:

1. Original schedule and current schedule:

2. Estimate @ completion:

3. How many times changed and primary causes of changes:

H. PRIMARY POINTS OF CONTACT: (The offeror is responsible for exerting its best efforts to ensure that current information is provided for all individuals.)

Name and Office Symbol Phone Number FAX Number

1. Procuring Contracting Officer

2. Program Manager

3. Administrative Contracting Officer

4. Other (Please Specify)

I. Specify, by name, key individual(s) who will participate in the proposed effort under this acquisition who also participated in the program identified in B. above, and indicate their contract role. Describe how participation of these key personnel contributed to the success of the previous effort and how this indicates probability of success on the proposed effort.

J. Summarize contract issues relative to the number and severity of quality deficiencies recorded/contract discrepancy reports issued, cure notices, show cause letters, termination for default or cause, disputes, claims, latent defects; and, corrective actions taken for the contract listed in paragraph B. above.

SECTION J - EXHIBIT 21

K. Additionally, for those efforts where the offeror is cognizant of unfavorable and/or marginal past performance ratings/reports previously assessed by customers or clients, but feel that significant progress has been made but not yet credited or formally documented, provide the program name, contract number, customer location and a narrative explaining "fixes" made to date, or any other information regarding the unfavorable/marginal assessment. This narrative portion is limited to three (3) pages. It is not presumed that the offeror's performance has been perfect.

Rather, the proposal should contain evidence of the offeror's ability to isolate the root causes of problems and should describe programs or actions taken to resolve those causes. Demonstrated corrective actions (not just planned or promised), and the overall work record will be considered. Problems not addressed by the offeror, but found by the Government during the evaluation of the information in this volume, will be assumed to still exist.

L. Additionally, for those efforts where the offeror is cognizant of unfavorable and/or marginal past performance ratings/reports previously assessed by customers or clients, but feel that significant progress has been made but not yet credited or formally documented, provide the program name, contract number, customer location and a narrative explaining "fixes" made to date, or any other information regarding the unfavorable/marginal assessment. This narrative portion is limited to three (3) pages. It is not presumed that the offeror's performance has been perfect.

Rather, the proposal should contain evidence of the offeror's ability to isolate the root causes of problems and should describe programs or actions taken to resolve those causes. Demonstrated corrective actions (not just planned or promised), and the overall work record will be considered. Problems not addressed by the offeror, but found by the Government during the evaluation of the information in this volume, will be assumed to still exist.

M. Was this contract effort (as identified in paragraph B. above) submitted as a past performance source of data for a previous FLETC procurement. Yes No . If yes, identify the buyer and/or contracting officer, their phone number and office symbol and solicitation number of the procurement for which this effort was submitted.

N. Complete the following regarding relevancy of the effort identified in paragraph B. to the proposed effort. This information is limited to three (3) pages.

Category Example Fill-in for the

Proposed Effort Fill-in for the Effort Identified in para. B above

1. Nature of Business Area(s) Involved

Services

2. Performance Location

3. Contract Type(s)

4. Cost/Scope

5. Program Similarity

6. Program Complexity

7. Other

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