ID08190001_RFQ_Attachment_4_-_Past_Performance_Data_Sheet.docx

RFQ ID08190001

PAST PERFORMANCE DATA SHEET

1. Project No. (check one) : |_| #1 |_| #2 |_| #3

2. Performance as: |_| Prime |_| Joint-Venture |_| Subcontractor |_| Other (Explain)

Offeror Name:

Address:

Phone Number:

Point of Contact: Contact Phone Number:

3. Contract Number: Delivery/Task Order Number:

Title:

Location:

Award Amount:

Final Price:

4. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):

5. Type of Contract/Task Order: (Check ALL that apply)

|_| Firm-Fixed Price |_| Cost/Time and Material |_| Other (explain):

6. Customer Point of Contact (POC):

Customer POC:

Organization:

POC Phone Number:

POC E-mail address:

Government POC (if other than POC listed above):

Organization:

POC Phone Number:

POC E-mail address:

7. Provide a detailed description of the project and the relevancy to the project requirements of this RFQ.

8. Other Information: