Attachment 4_Summary Relevant Contract Data.xlsx
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- Solicitation number
- N00019-11-R-0024
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P1
| Summary of Relevant Contract Data for the AIMD Program | ||
| 1 | Contractor Name (Offeror’s Prime or Subcontractor) | |
| 2 | Contract Reference (e.g. P1, P2, S1, S2, etc) | P1 |
| 3 | Title of contract | |
| 4 | Contract number and Type | |
| 4a | Delivery/Task Order Number (if applicable) | |
| 5 | Subcontract Number/PO Number (If acting as subcontractor on this past contract; For the prime contract identified in 4 above, identify the contracted parties.) | |
| 6 | Procuring agency (related to the prime contract) | |
| 7 | Description of product or service | |
| 8 | Period of performance | |
| 9 | Cage Code: XXXXX | |
| 10 | DUNs #: XX-XXX-XXXX | |
| 11 | If Cage/DUNs listed above is different than the Offeror (or team) listed in your Executive Summary, explain how that other division or subsidiary will be utilized in your proposed effort and why it is relevant to this evaluation | |
| 12 | Dollar value of contract | |
| 13 | Acquisition Phase(s) of Contract | |
| 14 | Identify if the Offeror acted as the Prime or Subcontractor on this past contract. | |
| 15 | Identify the date(s) of the completed CPARs in PPIRS. (Also, complete the below POC information.) | |
| 16 | If No CPARs are in PPIRS, identify the date past performance questionnaires were sent. (Also, complete the below POC information) | |
| 17 | Points of Contact who can validate performance on above listed contract | |
| 17a | PCO name: | phone/email: |
| 17b | ACO name: | phone/email: |
| 17c | PM name: | phone/email: |
| 17d | Other (name & title): | phone/email: |
| 18 | Contractor’s Relevancy Assessment. (See Instructions) |
AIMD Section J Attachment 4 - Summary of Relevant Contract Data N00019-11-R-0024
Page &P of &N P1
P2
| Summary of Relevant Contract Data for the AIMD Program | ||
| 1 | Contractor Name (Offeror’s Prime or Subcontractor) | |
| 2 | Contract Reference (e.g. P1, P2, S1, S2, etc) | P2 |
| 3 | Title of contract | |
| 4 | Contract number and Type | |
| 4a | Delivery/Task Order Number (if applicable) | |
| 5 | Subcontract Number/PO Number (If acting as subcontractor on this past contract; For the prime contract identified in 4 above, identify the contracted parties.) | |
| 6 | Procuring agency (related to the prime contract) | |
| 7 | Description of product or service | |
| 8 | Period of performance | |
| 9 | Cage Code: XXXXX | |
| 10 | DUNs #: XX-XXX-XXXX | |
| 11 | If Cage/DUNs listed above is different than the Offeror (or team) listed in your Executive Summary, explain how that other division or subsidiary will be utilized in your proposed effort and why it is relevant to this evaluation | |
| 12 | Dollar value of contract | |
| 13 | Acquisition Phase(s) of Contract | |
| 14 | Identify if the Offeror acted as the Prime or Subcontractor on this past contract. | |
| 15 | Identify the date(s) of the completed CPARs in PPIRS. (Also, complete the below POC information.) | |
| 16 | If No CPARs are in PPIRS, identify the date past performance questionnaires were sent. (Also, complete the below POC information) | |
| 17 | Points of Contact who can validate performance on above listed contract | |
| 17a | PCO name: | phone/email: |
| 17b | ACO name: | phone/email: |
| 17c | PM name: | phone/email: |
| 17d | Other (name & title): | phone/email: |
| 18 | Contractor’s Relevancy Assessment. (See Instructions) |
Attachment 4 - Summary of Relevant Contract Data N00019-11-R-0024
Page &P of &N P2
S1
| Summary of Relevant Contract Data for the AIMD Program | ||
| 1 | Contractor Name (Offeror’s Prime or Subcontractor) | |
| 2 | Contract Reference (e.g. P1, P2, S1, S2, etc) | S1 |
| 3 | Title of contract | |
| 4 | Contract number and Type | |
| 4a | Delivery/Task Order Number (if applicable) | |
| 5 | Subcontract Number/PO Number (If acting as subcontractor on this past contract; For the prime contract identified in 4 above, identify the contracted parties.) | |
| 6 | Procuring agency (related to the prime contract) | |
| 7 | Description of product or service | |
| 8 | Period of performance | |
| 9 | Cage Code: XXXXX | |
| 10 | DUNs #: XX-XXX-XXXX | |
| 11 | If Cage/DUNs listed above is different than the Offeror (or team) listed in your Executive Summary, explain how that other division or subsidiary will be utilized in your proposed effort and why it is relevant to this evaluation | |
| 12 | Dollar value of contract | |
| 13 | Acquisition Phase(s) of Contract | |
| 14 | Identify if the Offeror acted as the Prime or Subcontractor on this past contract. | |
| 15 | Identify the date(s) of the completed CPARs in PPIRS. (Also, complete the below POC information.) | |
| 16 | If No CPARs are in PPIRS, identify the date past performance questionnaires were sent. (Also, complete the below POC information) | |
| 17 | Points of Contact who can validate performance on above listed contract | |
| 17a | PCO name: | phone/email: |
| 17b | ACO name: | phone/email: |
| 17c | PM name: | phone/email: |
| 17d | Other (name & title): | phone/email: |
| 18 | Contractor’s Relevancy Assessment. (See Instructions) |
Attachment 4 - Summary of Relevant Contract Data N00019-11-R-0024
Page &P of &N &A
S2
| Summary of Relevant Contract Data for the AIMD Program | ||
| 1 | Contractor Name (Offeror’s Prime or Subcontractor) | |
| 2 | Contract Reference (e.g. P1, P2, S1, S2, etc) | S2 |
| 3 | Title of contract | |
| 4 | Contract number and Type | |
| 4a | Delivery/Task Order Number (if applicable) | |
| 5 | Subcontract Number/PO Number (If acting as subcontractor on this past contract; For the prime contract identified in 4 above, identify the contracted parties.) | |
| 6 | Procuring agency (related to the prime contract) | |
| 7 | Description of product or service | |
| 8 | Period of performance | |
| 9 | Cage Code: XXXXX | |
| 10 | DUNs #: XX-XXX-XXXX | |
| 11 | If Cage/DUNs listed above is different than the Offeror (or team) listed in your Executive Summary, explain how that other division or subsidiary will be utilized in your proposed effort and why it is relevant to this evaluation | |
| 12 | Dollar value of contract | |
| 13 | Acquisition Phase(s) of Contract | |
| 14 | Identify if the Offeror acted as the Prime or Subcontractor on this past contract. | |
| 15 | Identify the date(s) of the completed CPARs in PPIRS. (Also, complete the below POC information.) | |
| 16 | If No CPARs are in PPIRS, identify the date past performance questionnaires were sent. (Also, complete the below POC information) | |
| 17 | Points of Contact who can validate performance on above listed contract | |
| 17a | PCO name: | phone/email: |
| 17b | ACO name: | phone/email: |
| 17c | PM name: | phone/email: |
| 17d | Other (name & title): | phone/email: |
| 18 | Contractor’s Relevancy Assessment. (See Instructions) |
Attachment 4 - Summary of Relevant Contract Data N00019-11-R-0024
&"Arial,Bold"Page &P of &N &A instructions
| Instructions for completing the Relevant Contract Data Form | ||
| Block 1 | Contractor Name: | list name of contractor who performed the past performance contract reference |
| Block 2 | Contract Reference: | Label references "P" for prime or "S" for subcontractor. List all "P" contracts in sequential order (P1,P 2, P3, etc), from the most relevant to the least relevant. List all "S" contracts in sequential order (S1, S2, S3, etc) from the most relevant to the least relevant |
| Block 3 | Title of Contract | Name of contract |
| Block 4 | Contract Number/Type | Contract Number (e.g. N00019-00-C-1234) and Type (e.g. FFP, CPFF) |
| Delivery/Task Order Number (if applicable) | Delivery Order or Task Order number for contracts that utilize delivery orders or task orders (e.g. 0001) | |
| Block 5 | Subcontract Number/PO Number | PO# 12345 (Sub to XXX; prime contract identified above) |
| Block 6 | Procuring agency | Name of agency with whom you have the contract listed in Block 4 |
| Block 7 | Description of product or service | Describe the product you provide or service you performed |
| Block 8 | Period of Performance | List start month/ year through end month/year (performance within 5 years of proposal submission) |
| Block 9 | Cage Code | List 5 digit code of contractor identified in Block 1 |
| Block 10 | DUNs # | List 9 digit code of contractor identified in Block 1 |
| Block 11 | If Cage/Duns are different | If the Cage Code in Block 9 and the DUNs# in Block 10 are different than the Offeror (or team) listed in your Executive Summary, explain how that other division or subsidiary will be utilized |
| Block 12 | Dollar value of contract | list total contract value of contract in US dollars |
| Block 13 | Acquisition Phase(s) of Contract, if applicable | e. g. Production, SDD, etc |
| Block 14 | Offeror was the Prime or Subcontractor | Prime = had the contract directly with the procuring agency. Subcontractor = to another contractor who had the contract directly with the agency |
| Block 15 | CPARs in PPIRS | Provide the latest date a CPARS was completed; Also, provide the date a CPARS update questionnaire was sent. Complete the points of contact information below |
| Block 16 | No CPARS in PPIRS | If questionnaires were sent, complete the points of contact information below |
Blocks 17a-d Points of Contact List date PPQ sent, to whom, phone number and email address. Please validate information as current prior to sending PPQs.
Block 18 Contractor's Relevancy Assessment Contractor identifies contract as Very Relevant (VR) or Somewhat Relevant (SR). The detailed information and comparative analysis of the past performance references to the soliciation requirements shall be provided in part 3.3 of the offeror's proposal
Attachment 4 - Summary of Relevant Contract Data N00019-11-R-0024
Page &P of &N Instructions
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