ATTACHMENTS 1A and 1B.pdf

ATTACHMENT 1A

REFERENCE INFORMATION SHEET – SUMMARY DATA

SOLICITATION N65236-16-R-0018

1-1

**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:

Contract # Performed Work as:

Method for Obtaining Past Performance:

Prime or Sub PPIRS Questionnaire

Prime or Sub PPIRS Questionnaire

Prime or Sub PPIRS Questionnaire

Prime or Sub PPIRS Questionnaire

Prime or Sub PPIRS Questionnaire

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

ATTACHMENT 1B

REFERENCE INFORMATION SHEET – CONTRACT SPECIFIC DATA

SOLICITATION N65236-16-R-0018

(Reproduce this form as needed for each Contract Reference Cited) NOTE: If submitting multiple orders under a single GSA, GWAC, DoD-wide contract or BPA in order to meet the relevancy threshold for a contract reference, contractors shall clearly identify the dates of performance and dollar amounts for each order.

1. Contract Number or other Control Number (Identify individual Task Orders if applicable):

2. Complete Name and Address of Contract Reference:

Name:

Address:

3. Date of Contract:

4. Date work began:

5. Date work was completed:

6. Contract Information:

Contract Type:

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:

Name:

Telephone #: ( ) - - E-Mail:

9. Contracting Point of Contact for this Reference:

Name:

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

12. Provide contract specific technical capabilities data that addresses the subfactors and/or elements identified in provision L-317 and M-307. Describe the nature and scope of work and its relevancy to this requirement.

Contract #