Attachment_4_-_PP_Form.docm
DOCM document 21 KB Posted
- Attached to
- Uniform Items and Services
- Solicitation number
- HSHQEH-13-R-00004
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Attachment 4 - Past Performance Project
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| SF30_-_Amend_000001.pdf | ||
| Attachment_3_-_Terms_and_Conditions.doc | DOC document | |
| Attachment_5_-_PP_Quest.doc | DOC document | |
| Attachment_6_-_DHS_Form_11000-6_NDA.pdf | ||
| Attachment_1_-_SF_1449.pdf |
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Text version
ATTACHMENT 4
PAST PROJECT FORM
1. Name of Vendor
1a. Solicitation Number (i.e. the solicitation your firm is responding to)
2. Complete Name of Government Agency, Commercial Firm, or other Organization for which effort was performed.
3. Complete Address of entity named in #2 above
4. Contract Number or Other Reference
5. Date of Project Award
6. Total Project Price (to include all options)
7. Period of Performance (to include all options)
8. Clearance Required (If yes, specify level)
(If applicable) Type/Level:
| 9a. Number of Labor Hours |
| 9b. Labor Category |
10. Technical point of contact (name, title, address, telephone no., and email address)
11. Contracting or purchasing point of contact (name, title, address, telephone no., and email address)
12. Geographic Location of work (Country, State or Province, County, City)
13. Description of contract work. In order to establish the relevance of your project to the instant requirement, please describe the scope, magnitude and complexity of this work, comparing and contrasting it to that required under this solicitation. Additionally, describe any unique or unusual requirements of the contract, and performance problems or issues encountered under the performance of the contract. Use a continuation sheet, if necessary.
14. Name(s) of subcontractor(s) used, if any, and a description of the extent of work performed by the subcontractor(s).
Instructions for Completing the Past Project Form
| Item1 | Insert Name of Offeror | |
| Item 1a | Insert Solicitation Number | |
| Item 2 | Insert the complete name of the customer, including parent organization. Do not use acronyms. | |
| Item 3 | Insert the customer's complete address, including both post office box and street address, if possible. | |
| Item 4 | Insert any contract number or other contract reference used by the customer. | |
| Item 5 | Insert the date on which the contract came into existence. | |
| Item 6 | Insert the price, as it appeared in the original contract inclusive of all option periods. If the contract included multiple, separately-priced items, add the individual item amounts and insert the total price. | |
| Item 7 | Insert the period of performance to include all option periods (if applicable). | |
| Item 8 | Annotate whether or not a clearance was required. If applicable, insert the type clearance, i.e. Top Secret, Secret) | |
| Item 9a | Insert the number of hours under the contract on an annual basis. | |
| Item 9b | Indicate the labor category or position title Item 10 | Insert the name, title, address, telephone number, and email address (if available) of the program or project manager, quality assurance representative, or other customer technical representative who is most familiar with the quality of your work under the contract. |
| Item 11 | Insert the name, title, address, telephone number, and email address (if available) of the contracting officer, purchasing agent, or other customer contracting or purchasing representative who is most familiar with your work under the contract. | |
| Item 12 | Insert the location(s) where the work was performed, including the country (if other than the United States) and the state or province, county (if applicable), and city. If contract requires guard services at multiple locations, identify all locations. | |
| Item 13 | Describe the nature and scope of the work. The objective is to show how the work that you did or are doing is similar in nature and scope to the work that is to be performed under the contract contemplated by the request for proposal. Describe any unique or unusual requirements of the contract and any problems encountered during the performance of this contract work. Tell your side of the story of any conflicts with the customer concerning which they may make adverse remarks about your performance. Describe any actions that you have taken or plan to take to correct any shortcomings in your performance. | |
| Item 14 | Insert the name, address, telephone number, and email address (if available) of the subcontractor(s) used, if any, and a description of the extent of work performed by the subcontractor(s). |
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