Attachment 1A Reference Information Sheet - Summary Data.doc

ATTACHMENT 1A

REFERENCE INFORMATION SHEET – SUMMARY DATA

SOLICITATION N65236-16-R-0021

**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:

FORMCHECKBOX

Prime or FORMCHECKBOX Sub

FORMCHECKBOX

PPIRS FORMCHECKBOX

Questionnaire

FORMCHECKBOX

Sub

FORMCHECKBOX

FORMCHECKBOX

Sub

FORMCHECKBOX

FORMCHECKBOX

Sub

FORMCHECKBOX

FORMCHECKBOX

Sub

FORMCHECKBOX

NOTE: In accordance with Section L provision L-317, Submission of Proposals, if the offeror’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

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