Official RFP Attachment 6 - Past Performance_Reference Information Sheet.pdf

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Attached to
Satellite Communication (SATCOM) Engineering Services Federal contract opportunity
Solicitation number
N66001-18-R-0119
Issued by
Department of the Navy Information Warfare Systems Command

About this file

This document contains a past performance reference template and information about an upcoming Satellite Communication (SATCOM) Engineering Services solicitation.

The reference template requests contact information for up to three past performance references and performance details including contract period, type, pricing, and status. Offerors must also describe participation of small businesses and procedures to ensure their timely payment. Additional questions address small business subcontracting compliance.

The solicitation will be for SATCOM Capability-Based In-Service Engineering Activity services including program management, technical sustainment support, engineering, logistics, and modernization support for SATCOM systems. The Naval Information Warfare Center Pacific will issue the solicitation within 15 days for a minimum 30-day response period. Interested offerors should contact the named contracting specialist for additional details.

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Text version

ATTACHMENT 6

REFERENCE INFORMATION SHEET

(Note: Offerors are not to change the spatial structure of this form, i.e. borders, block size, etc.)

N66001-18-R-0119 Version 3/20/18

1. Complete Name of Reference (Government agency)

2. Complete Address of Reference

3. Contract Number or other control number

4. Date of contract

5. Date work began

6. Date work was completed or completion date if all options are exercised

7. Contract type, initial contract price, estimated cost and fee, or target cost and profit or fee

8. Final amount invoiced or amount invoiced to date

9a. Reference/Technical point of contact (name, title, address, telephone

no. and email address)

9b. Reference/Contracting point of contact (name, title, address, telephone no. and email address)

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

11. Current status of contract (choose one):

[ ] Work continuing, on schedule [ ] Terminated for Convenience [ ] Work continuing, behind schedule [ ] Terminated for Default [ ] Work completed, no further action pending or underway [ ] Other (explain) [ ] Work completed, routine administrative action pending or underway [ ] Work completed, claims negotiations pending or underway [ ] Work completed, litigation pending or underway

12. Provide brief information describing the success of your firm in furthering the policy of the United States to maximize practicable opportunities for small business concerns, HUBZone small business concerns, small business concerns owned and controlled by socially and economically disadvantaged individuals, and small business concerns owned and controlled by women to participate in this contract.

13. When contracting with firms described in part 12 above, describe what, if any, procedures your firm established to ensure timely payment of amounts due.

14a. Did this contract require a Small Business Subcontracting Plan pursuant to FAR 52.219-9? Yes ___ , No ___.

14b. If “Yes” to 14a, have you regularly submitted Individual Subcontracting Reports (ISR)/Summary Subcontract Reports (SSR) on time? Yes ___ , No ___.

14c. Attach a copy of your most recently submitted ISR.

15 Provide a summary description of contract work, not to exceed 2 pages in length (Single or double-spaced). Describe the nature and scope of work, its relevancy to this contract, and a description of any problems encountered and your corrective actions. Attach the explanation to this form.

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