ID08190023_RFP_47QFRA19R0003_-_Attachment_5_-_Past_Performance_Data_Sheet.docx

RFP 47QFRA19R0003 - Attachment 5

PAST PERFORMANCE DATA SHEET

1. Past Performance Effort 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: Task Order Number:

Title:

Location:

Awarded Price/Value:

Final Price/Value:

Annual Price/Value:

Contractor Workforce (# of Personnel):

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 RFP.

8. Other Information: