Past Performance Information.docx

For Official Use Only Past Performance Information Past Performance Factor 15 December 2020

Offeror Name:

Contract Number:

Contract Type:

Program Title:

Short Title:

Cage Code:

Contracting Agency/Customer:

DUNS Number:

Delivery or Task Order:

Brief Description of Effort as: (Select Prime, Sub, Joint Venture, or Other (explain))

Contract Dollar Value—Original: $ Current: $ Explain the differences in contract values, if applicable:

Period of Performance Start Date: Original End Date: Current End Date:

Explain the differences in Period of Performance, if applicable:

Recency: “Yes” or “No” based on the definition of recency in your RFP (Addendum II paragraph 3.1.1)

Relevancy: “Yes” or “No” based on the definition of relevancy in your RFP (Addendum II paragraph 3.1.2)

Key Individuals:

Customer Points of Contact

Program Manager’s Name:

Office:

Address:

Telephone:

FAX:

Contracting Officer’s Name:

Office:

Address:

Telephone:

FAX:

Other POC Name and Position:

Office:

Address:

Telephone:

FAX: