Attachment 1A - Reference Information Sheet - Summary Data.docx

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Cyber Mission Systems, Kitting, and Supplies
Solicitation number
N65236-16-R-0036
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ATTACHMENT 1A

REFERENCE INFORMATION SHEET – SUMMARY DATA

SOLICITATION N65236-16-R-0036

**Prime and Team Members (identified on Attachment 1C) 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 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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