Past Performance Template.pdf

ATTACHMENT 1A

PAST PERFORMANCE SHEET – SUMMARY DATA

SOLICITATION FA2860-21-Q-0057

**Prime and Significant Subcontractors are to submit separate sheets.**

Contractor Name: _____________________________ CAGE Code: _______________

Address:_________________________________________________________________

Contractor Point of Contact Information (Representative who can verify data):

Name: ______________________________________________________________

Telephone Number: (____) _____________________________

Fax Number: (____) _____________________________

E-Mail Address: ____________________________________

1. Contract Number or other Control Number (Identify individual Task Orders if applicable):

2. Complete Name and Address of Contract Reference:

Name:

Address:

3. Date of Contract:

4. Date work began:

5. Date work was completed:

6. Contract Information:

Contract Type:

Initial Contract Amount (Total Ceiling):

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

7. Final amount invoiced or amount invoiced to date:

8. Technical Point of Contact for this Reference:

Telephone #: ( ) - - E-Mail:

ATTACHMENT 1A

PAST PERFORMANCE SHEET – SUMMARY DATA

SOLICITATION FA2860-21-Q-0057

9. Contracting Point of Contact for this Reference:

Telephone #:( ) - - E-Mail:

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

11. Current status of contract (choose one):

Work continuing, on schedule Work continuing, behind schedule

Work completed, no further action pending or underway Work completed, routine administrative

Work completed, claims negotiations pending or underway action pending or underway

Work completed, litigation pending or underway Terminated for

Convenience

Terminated for Default

Other (explain)

12. 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.

13. Provide contract specific technical capabilities data that addresses the experience as follows:

a. Experience: Creating customized Insider Threat Management Guide.

b. Experience: Providing consultation regarding threat assessment & management processes.