Attachment_1_Past_Performance_Information_Sheet.doc

N62306-17-R-0002 Attachment 1

PAST PERFORMANCE INFORMATION SHEET

Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. Limit the number of past efforts submitted and the length of each submission to the limitations set forth in FAR 52.212-1 Addendum .

A.

Offeror Name (Company/Division):

CAGE Code:

DUNS Number:

(NOTE: If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes. Refer to the Volume III, "Organizational Structure Change History" you provided as part of your Past Performance Volume).

B.

Program Title:

C.

Contract Specifics:

1. Contracting Agency or Customer _________________________________________________________

2. Contract Number

3. Contract Type ________________________________

4. Period of Performance __________________________

5. Original Contract $ Value _________________ (Do not include unexercised options)

6. Current Contract $ Value _________________ (Do not include unexercised options)

7. If Amounts for 5 and 6 above are different, provide a brief description of the reason ____________________________________________________________________________________________________________________________________________________________________________________________________ D.

Brief Description of Effort as __Prime or __Subcontractor

(Please highlight portions of performance considered most relevant to performance requirements of this solicitation)

E. Primary Customer Points of Contact: (For Government contracts, provide current information for both individuals. For commercial contracts, provide points of contact fulfilling these same roles).

1. Gov’t Program Manager Name

Or COR

Office

Address

Telephone

FAX Number

2. Contracting Officer:

Name

Office

Address

Telephone

FAX Number

G. Address any technical (or other) area about this contract/program considered unique.

H. For each of the applicable subfactors under the Technical Acceptability factor in FAR 52.212-2 Addendum, illustrate how your experience on this program applies to that subfactor.

I. Specify, by name, any key individual(s) who participated in this program and are proposed to support the instant acquisition. Also, indicate their contractual roles for both acquisitions.