Attachment_1.pdf

ATTACHMENT 1: PAST AND PRESENT PERFORMANCE INFORMATION

Provide the information requested in this form for each contract/program (citation) being described as a separate form. Provide frank, concise comments regarding your performance on the contracts you identify. Limit the number of citations submitted and the length of each submission to the limitations set forth in Addendum to 52.212-1, Instructions to Offerors-Commercial Items of this solicitation.

A. Offeror Name (Company/Division): ____________________

CAGE Code: ____________________

DUNS Number: ____________________

(NOTE: If the company/division performing this effort is different than the Offeror or the relevance of this effort 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. Program Title: ________________________________________

C. Contract Specifics:

Contracting Agency or Customer _____________________________________________

Contract Number: _______________________________________

Task Order Number (if applicable): ___________________________

Contract Type: ______________________________ (FFP, FPI, Cost, CPFF, CPIF, LH, T&M)

Was this a Competitive Contract? Yes _____ No _____

Additional Past Performance Information for this Contract Available in CPARS/PPIRS? Yes _____ No _____

Period of Performance (including option periods):

Number of Users Supported by this Contract: __________

Number of Locations/Sites Supported by the Contract: ____________

Initial Contract Cost: $____________________________

Current/Final Contract Cost: $_______________________________

Reasons for differences between initial contract cost and final contract costs:

D. Brief Description of Effort as __Prime or __Subcontractor or __ Teaming Partner:

E. Rationale supporting your assertion of relevance:

F. Primary Customer Points of Contact: (For Government contracts, provide current information on both individuals. For commercial contracts, provide points of contact fulfilling these same roles.)

1. Program Manager: Name: ____________________

Office: ____________________

Address: ____________________

Phone: ____________________

E-mail: ____________________

2. Contracting Officer: Name: ____________________

Office: ____________________

Address: ___________________

Phone: ____________________

E-mail: ____________________

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

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

I. Specify, by name, any key individuals who participated in this program and are proposed to support this procurement. Also, indicate their contractual roles for both procurements:

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/teaming partner, or a corporate division related to the prime (define relationship):