Attachment 1A_15R0005.docx

ATTACHMENT 1A

REFERENCE INFORMATION SHEET – SUMMARY DATA

SOLICITATION N65236-15-R-0005

**Prime and Significant Subcontractors are to submit separate sheets.**

Contractor Name: _______________________________________ CAGE Code: _______________

Address: _________________________________________________________________

Division (If Applicable): _______________________________________________________________

Contractor Point of Contact Information (Representative who can verify data):

Name: ______________________________________________________________

Telephone Number: (____) _____________________________

Fax Number: (____) _____________________________

E-Mail Address: ____________________________________

In the table below, identify the contract references submitted for evaluation under the Technical Capability Factor:

Past Performance:

NOTE: In accordance with Section L provision L-317, Submission of Proposals, if the offeror’s Past Performance Information for the contract(s) referenced is located in the CPARS/ PPIRS, then it is not necessary for a Past Performance Questionnaire to be submitted.