L3 PPQ_Info_Sheet.docx

HQ0855-21-R-0004 Attachment L3

PAST PERFORMANCE INFORMATION

HQ0855-21-R-0004

DISC

Provide the information requested in this form for each contract reference. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. Limit the number of references submitted and the length of each submission to the limitations set forth at paragraphs __________of Section L of this solicitation.

(NOTE: If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant procurement is impacted by any company/corporate organizational change, note those changes. Refer to the "Organizational Structure Change History" you provided as part of your Past Performance Volume.)

B. Contract Title: ____________________

C. Contract Specifics:

1. Contracting Agency or Customer _____________________________________________

If this performance period has changed, explain why: _____________________________________________________________________________

7. Annual Contract $ Value _________________

8. If Amounts for 5 and 6 above are different, provide a brief description of the reason __________________________________________________________________________________________________________________________________________________________________

D. Brief Description of Effort as __Prime or __Subcontractor (Please indicate whether it was development and/or production, or other acquisition phase and highlight portions considered most relevant to current procurement) If you performed as a Subcontractor, provide Prime Contractor's information

E. Completion Date:

F. Provide two (2) points of contact most knowledgeable of the submitted contract. For Government contracts points of contacts may include Program Manager, Project/Task Manager, Contracting Officer, and Administrative Contracting Officer. For commercial contracts, provide two (2) points of contact fulfilling these same roles.

G. Address any technical and management (or other) area about this contract/program considered unique.

H. For each of the applicable subfactors under the technical and management factors in Section M, illustrate how your experience on this program applies to that subfactor.

I. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting.

J. Describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. Also, estimate the percentage of the total proposed effort to be performed by this entity and whether this entity will be performing as the prime, subcontractor, or a corporate division related to the prime (define relationship).

K. Identify any Earned Value Management (EVM) or similar metrics required to track contract performance. If such metrics were required for this contract, provide the summary level data.