N61331-14-T-5501_Attachment_3_Past_Performance.doc

N61331-14-T-5501 Attachment 3

Previous Contracting Efforts (Ref: Addendum to FAR 52.212-1 Instructions to Offerors, Factor 3: Past Performance) Past Performance Data (Complete the blocks in this form for each contract or task order identified in response to this solicitation)

Performing Contractor/Division:

CAGE Code/DUNS Number

Customer/Program Name:

Contract Number/Task Order Number:

Period of Performance:

Customer Points of Contact (POC) (Provide name, address, telephone number, FAX 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 Type; Firm- Fixed-Price; Labor Hour or Time-and-Materials; Cost-Reimbursement (CPFF, CPAF, etc.); IDIQ

Dollar Amount at Completion:

% of Total Work Performed

If the contract has not been completed:

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

Current Estimate to Complete:

% of Total Work Performed

Source Selection Information – See FAR 2.101 and 3.104

Using the space below provide the following narrative information:

· Describe how the scope for this past contract/task order relates to the requirements described in the PWS in regards to size and scope.

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

Source Selection Information – See FAR 2.101 and 3.104