Att_4_Org_Exp_Reference_Info_Sheet.docx

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Attached to
N6600126R0002 - Cyberspace Science, Research, Engineering and Technology Integration Small Business Multiple Award Contract (MAC)
Solicitation number
N6600126R0002
Issued by

About this file

This is a Reference Information Sheet template used by offerors to document relevant organizational experience for the N66001-26-R-0002 Cyberspace Science, Research, Engineering and Technology Integration Small Business Multiple Award Contract (MAC) solicitation. The form requires offerors to provide comprehensive details about reference contracts that demonstrate their qualifications for the opportunity. Offerors must complete the reference contact information section with the organization name, address, and points of contact for both technical and contracting personnel. The reference contract information section requires documentation of the control number, task order number if applicable, principal contract type, contract award value, award date, and period of performance. Offerors must also provide the actual work dates, work location, current status of work (indicating whether the work is continuing on or behind schedule, completed, terminated, or subject to claims or litigation), and the amount invoiced to date.

The form requires offerors to certify whether the contract work summary covers only work performed since January 1, 2021, and to provide a detailed summary description of the contract work that clearly demonstrates its relevance to one or more identified Key Areas of the solicitation. The summary description must be provided as a separate addendum meeting the formatting requirements specified in the solicitation's submission guidance and must comply with page limitations outlined in Section 3.1(b). The form emphasizes that each Key Area must be addressed separately rather than in a consolidated response, as the Government will evaluate the offeror's experience in each individual Key Area based solely on the text designated in the summary description for that particular area.

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Attachment 4 Reference Information Sheet

Reference No.
Select Reference No. that corresponds with Organizational Experience Matrix
REFERENCE CONTACT INFORMATION

1. Complete Name of Reference (Government agency, commercial firm, or other organization) Click or tap here to enter text.

2. Complete Address of Reference (Government agency, commercial firm, or other organization) Click or tap here to enter text.

3. Technical Point of Contact of Reference Name: Click or tap here to enter text.

Title: Click or tap here to enter text.

Phone No.: Click or tap here to enter text.

Email: Click or tap here to enter text.

4. Contracting Point of Contact of Reference Name: Click or tap here to enter text.

Title: Click or tap here to enter text.

Phone No.: Click or tap here to enter text.

Email: Click or tap here to enter text.

REFERENCE CONTRACT INFORMATION

5. Control Number (e.g., Contract No.)

Click or tap here to enter text.

6. Task Order No. (if applicable) Click or tap here to enter text.

7a. Principle Contract Type:

Choose an item.

8. Contract Award Value (e.g., Contract price, Est. Cost & Fee, Target Cost & profit/fee (as applicable)) Click or tap here to enter text.

7b. If Other, please specify:

Click or tap here to enter text.

9. Award Date (MM/DD/YY):

Click or tap here to enter text.

10. Reference Period of Performance (MM/DD/YY)

Start Date: Click or tap here to enter text.

End Date: Click or tap here to enter text.

11. Contains Small Business Subcontracting Plan (FAR 52.219-9)? Choose an item.

STATUS OF REFERENCE

12. Actual Work Dates (MM/DD/YY)
13. Work Location:

Click or tap here to enter text.

Start: Click or tap here to enter text.

End (if applicable): Click or tap here to enter text.

14. Current status of Work (choose one):

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

15. Amount Invoiced To Date: Click or tap here to enter text.

REFERENCE ORGANIZATIONAL EXPERIENCE INFORMATION

16. The Offeror ☐ certifies ☐ does not certify (choose one) that the summary description of contract work provided in response to Block 17 below only describes work performed since 01 January 2021.

17. Provide a summary description of the contract work explaining its relevance with respect to one or more of the Key Areas. Clearly format the response to separate the discussion for each Key Area. Do not provide a consolidated response for multiple Key Areas. In evaluating the offeror’s experience in each individual Key Area, the Government will consider only the text designated in the summary description of contract work for that particular Key Area.

The summary description provided for this Reference shall not be provided within this form. The summary description shall be provided as an addendum to this form meeting the formatting requirements of L-215-PAC001 SUBMISSION OF PROPOSALS and page limitations set forth in Paragraph 3.1(b).

N66001-26-R-0002 Version 2/28/25

File details come from the government source that posted it. Updated .