J-8 _Past_Performance_Information_Form.docx

PAST PERFORMANCE REFERENCE INFORMATION FORM *

*To be completed by the offeror for each referenced contract to be submitted.

Form ___ of ___

Name of Offeror:

Referenced Contract Number, order number, or identifier:

Reference’s Firm/Agency Name & Location:

Reference’s Point of Contact (Name & Title):

Reference’s Telephone Number and E-mail address (PLEASE VERIFY):

Total dollar value for this effort broken into annual increments:

(For ordering vehicles, show both the annual estimated contract amount and the amount of orders actually performed) (Show the period of performance and dollars for that period) (*At least 1 year of performance must have been completed prior to the closing date of the solicitation):

Number of personnel (FTE) performing per year (avg.):

To:

Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the scope of the solicitation:

Scope:

Magnitude:

Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:

Quality, delivery, or cost problem(s); corrective action(s) taken; and effectiveness of the corrective action(s):

Source Selection Information – See FAR 2.101 and 3.104