RFP Attachment 4 Past Performance Information.pdf

RFP Attachment 4 Past Performance Information

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION

IAW FAR 3.104

Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. The number of past efforts shall be limited to three (3) for the prime contractor and one

(1) for each subcontractor. Relevancy shall demonstrate your ability to perform the proposed effort.

A. Offeror Name (Company/Division): ___________________________________________________ CAGE Code: ______________________ DUNS Number: ______________________

NOTE: 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.

B. Program Title: ______________________________________________

C. Contract Title: _____________________________________________

1. Contract Agency or Customer _______________________

2. Contract Number _______________________

3. Contract Type _______________________

4. Period of Performance _______________________

5. Current Contract $ Value _______________________ (Do not include unexercised options)

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)

D. Active or Complete ____________________________________________ E. Estimate at Completion: ____________________________________________

(d) 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.)

Program Manager: Name ____________________________________ Office ____________________________________ City/State___________________________________ Telephone____________________________________ Email _________________________________

W81XWH-20-R-0049

Office ____________________________________ Address __________________________________ Telephone____________________________________ Email ____________________________________

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

(f) Illustrate how your experience applies to the non-price Evaluation Factors listed in FAR clause Addendum 52.212-2.

Contracting Officer: Name_____________________________________