ATTACHMENT_5_Past-Performance-Reference-Form.docx

N00167-20-R-0010 N00167-20-R-0010

Attachment 5 Past Performance Reference / Previous Contracting Effort Narrative

Past Performance Data (Complete the blocks in this form for each contract/task order identified under Section L, Paragraph 4.4.1 of this solicitation)

Performing Contractor/Division:

DUNS Number/CAGE Code:

Customer/Program Name:

Contract Number/Task Order Number:

Period of Performance:

Customer Points of Contact (POCs) (Provide the name, address, telephone number, and e-mail address for one of the POCs identified below. More than one is permitted, but only one is required.)

Program Manager (PM):

Contracting Officer (KO):

Administrative Contracting Officer (ACO):

Contracting Officer’s Technical Representative (COTR) or Contracting Officer’s Representative (COR):

Task Monitor:

Contract Information

Contract Type: Fixed-Price; Labor Hour or Time-and-Materials; Cost-Reimbursement (CPFF, CPAF, CPIF, etc.)

Dollar Amount at Completion:

If the contract has not been completed:

(Do not include unexercised options) Current Cost/Price:

Current Estimate to Complete:

List of key subcontracts and the estimated portion and description of work performed by or as subcontractors:

List of proposed key personnel who worked on this contract/task order, if any (identify role/responsibility on past effort and on current proposed effort):

Using the space below, provide the following narrative information:

· Describe the work products and/or services delivered to the customer under this past contract/task order.

· Describe the relevance of the past contract/task order in comparison to the requirements described in Solicitation N00167-20-R-0010, with respect to scope, period of performance, and complexity (e.g. task, dollar value, contract type, labor mix).

· Describe significant achievements, challenges, or obstacles that were encountered during contract/task order performance and the measures taken to overcome them.

· Provide performance criteria/measures that were applied in evaluating performance, for the contract/task order identified. The performance criteria/measures should be specific and show the target performance levels that are/were set forth under the contract/task order as well as the level of performance achieved, for the most recent period of performance of the contract/task order. Describe the tools and/or methods used to collect metrics data and the frequency of data collection and reporting.

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104