RFP Attach 1B - Ref Info Sheet - Contract Specific Data.pdf

ATTACHMENT 1B

REFERENCE INFORMATION SHEET – CONTRACT SPECIFIC DATA

SOLICITATION N65236-16-R-0001

(Reproduce this form as needed for each Contract Reference Cited)

1. Contract Number or other Control Number:

2. Complete Name and Address of Contract Reference (Federal Government, State/Local, Commercial Firm):

Name:

Address:

3. Date of Contract:

4. Date work began:

5. Date work was completed:

6. Contract Information:

Contract Type: CAGE Code:

Initial Contract Amount (Total Ceiling):

Final (or Current) Contract Amount (Total Ceiling) (if different from Initial):

7. Final amount invoiced or amount invoiced to date:

8. Technical Point of Contact for this Reference:

Telephone #: ( ) - - E-Mail:

9. Contracting Point of Contact for this Reference:

Telephone #: ( ) - - E-Mail:

10. Location of work (country, state or province, county, city):

11. Current status of contract (choose one):

Work continuing, on schedule Work continuing, behind schedule Work completed, no further action pending or underway Work completed, routine administrative action pending or underway

Work completed, claims negotiations pending or underway Work completed, litigation pending or underway Terminated for Convenience Terminated for Default Other (explain)

12. Did this contract require a Small Business Subcontracting Plan (FAR 52.219-9)? Yes No

If "Yes”, attach a copy of your most recently submitted eSRS Subcontracting Report for Individual Contracts, for the contract reference or, if no subcontracting plan required, provide a copy of your company’s Summary Subcontract Reports.

13. Provide a summary description of contract work, demonstrating experience with the following: Systems

Engineering Support (PWS Sections 3.4.1, 3.4.2, 3.4.3, 3.4.4, and 3.4.7) (Subfactor B1);

Cybersecurity/Information Assurance Support (PWS Section s 3.4.2.3 and 3.4.6) (Subfactor B2); and Data Integration Support (PWS Section 3.4.5) (Subfactor B3). Describe the nature and scope of work, its relevancy to this contract, and a description of any problems encountered and your corrective actions.

*Note - There is no page limit established for information to describe each individual contract reference; however, there is a maximum total page limit of 15 pages allotted for all contract references in response to Factor B.