DRAFT Past Performance Info sheet.pdf

RFP FA8224-07-R-1001

PAST PERFORMANCE INFORMATION SHEET

Provide the information requested in this form for each contract/program being described. Comments shall be frank and concise regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. Limit the number of past efforts submitted and the length of each submission to the limitations set forth in Section L, Instruction to Offerors. If information is provided relevant to task order type contracts, offerors must provide specific task order numbers, in addition to the basic contract number. Past performance submissions for any team member will be evaluated for relevancy based on how that information coincides with the role of the team member on this acquisition.

A. Offeror Name (Company/Division): ______________________________________ CAGE Code: ________________________________________________________ DUNS Number:

NOTE: For large, multi-function companies, limit the references to work done by the division, group or unit that plans to perform the proposed work. If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes. Refer to the “Organizational Structure Change History” you provide as part of your Past Performance Volume.

B. Program Title: __________________

C. Contract Specifics:

1. Contracting Agency or Customer_________________________________________

2. Contract Number

3. Contract Type

4. Period of Performance

5. Original Contract $ Value _____________________ (Do not include unexercised options)

6. Current Contract $ Value ______________________ (Do not include unexercised options)

7. If Amounts for 5 and 6 above are different, provide a brief description of the reason

D. Brief Description of Effort as ___ Prime or ___ Subcontractor:

(Please indicate whether it was development and/or production, or other acquisition phase, and highlight portions considered most relevant to current acquisition)

E. Completion Date:

1. Original date:

2. Current Schedule:

3. Estimate at Completion:

4. How Many Times Changed:

5. Primary Causes of Change:

F. Primary Customer Points of Contact: (For Government contracts provide current information on all three individuals. For commercial contracts provide points of contact fulfilling these same roles.) It is the contractor’s responsibility to ensure all data is current and accurate.

1. Program Manager: Name ____________________ Office ____________________ Address ____________________ Telephone ____________________

2. Contracting Officer: Name ____________________ Office ____________________ Address ____________________ Telephone ____________________

3. Administrative Name ____________________

Contracting Officer Office ____________________ Address ____________________ Telephone ____________________

G. Address any technical (or other) area about this contract/program considered unique.

H. For each of the applicable Subfactors under the Technical Capability factor in Section M, illustrate how your performance on this program applies to that Subfactor.

I. Specify, by name, any key individual(s) who participated in this program and are proposed to support the instant acquisition. Also, indicate their contractual roles for both acquisitions.

Note: Past performance submissions for any team member will be evaluated for relevancy based on how similar work on the prior contract is to that team member on this particular acquisition.