Attachment 1A Reference Information Sheet - Summary Data.docx
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- N65236-17-R-0001
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ATTACHMENT 1A
REFERENCE INFORMATION SHEET – SUMMARY DATA
SOLICITATION N65236-17-R-0001
**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: (____) _____________________________
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-TXT-4, 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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