Attachment 1B - Reference Information Sheet.docx

ATTACHMENT 1B

REFERENCE INFORMATION SHEET CONTRACT SPECIFIC DATA

SOLICITATION N6523617R0005

(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, offerors 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):

1. Complete Name and Address of Contract Reference:

1. Date of Contract:

1. Date work began:

1. Date work was completed:

1. Contract Information:

Contract Type:

Initial Contract Amount (Total Ceiling):

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

1. Final amount invoiced or amount invoiced to date:

1. Technical Point of Contact for this Reference:

Name:

Telephone #: ( ) - - E-Mail:

1. Contracting Point of Contact for this Reference:

Name:

Telephone #: ( ) - - E-Mail:

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

1. Current status of contract (choose one):

|_| Terminated for Default |_| Other (explain)

1. 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.

1. Provide contract specific technical capabilities data that addresses the subfactors and/or elements identified in provision L-TXT-04. Describe the nature and scope of work, its relevancy to this requirement, any proposed benefits of the experience to the Government.