N00253-16-R-0004_ATT_3_Past_Performance.pdf

ATTACHMENT 3 – PAST PERFORMANCE WORKSHEET

Attachment Three (3)

N00253-16-R-0004

PAST PERFORMANCE WORKSHEET

The Government highly prefers that you submit your company’s three most recent references (relevant to the requirements outlined in this solicitation document), all of which should be Government references. The Government references should be a Contracting Officer (CO) and a Program Manager or equivalent. Relevance is determined by considering the products provided, dollar value, period of performance, and worldwide delivery and warranty support capabilities. Attached is the Past Performance Questionnaire that must be submitted with your offer. In addition, discuss any contractual vehicles (contracts, delivery orders, etc.) terminated for default by a CO affecting your company within the past five years. Also, describe all instances in which your company has ever been the subject of, or party to, a proposed debarment/suspension case and the outcome. Failure to comply with these instructions may result in elimination from further consideration.

Reference #1

Procurement vehicle title/contract number:

Type (e.g., ID/IQ, BPA, etc.):

Period of Performance:

Prime or sub:

Description of products and services:

Original procurement vehicle $ value:

Sales to date $:

Primary Points of

Contact Name Agency DSN Phone

Commercial Phone

Commercial Fax

E-mail Address

Program Manager:

Contracting Officer:

Reference #2

Procurement vehicle title/contract number:

Type (e.g., ID/IQ, BPA, etc.):

Period of Performance:

Prime or sub:

Description of products and services:

Name Agency DSN Phone

Commercial Phone

Commercial Fax

E-mail Address

Program Manager:

Contracting Officer:

Reference #3

Procurement vehicle title/contract number:

Type (e.g., ID/IQ, BPA, etc.):

Period of Performance:

Prime or sub:

Description of products and services:

Name Agency DSN Phone

Commercial Phone

Commercial Fax

E-mail Address

Program Manager:

Contracting Officer:

The vendor may provide information on problems encountered on the contracts and subcontracts identified above and corrective actions taken to resolve those problems. Companies should not provide general information on their performance on the identified contracts. General performance information will be obtained from the references.

PLEASE ENSURE ALL THE ABOVE REFERENCED INFORMATION IS CORRECT.