RFP - Attachment 6 Past Performance Information Sheet.pdf

Solicitation #: 47QFLA21R0022

Attachment 06

PAST PERFORMANCE INFORMATION

Provide the information requested in this form for each contract reference. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. Limit the number of references submitted and the length of each submission to the limitations set forth in Section 6 of the RFQ.

A. Contractor Name (Company/Division): ____________________

CAGE Code: ____________________

DUNS Number: ____________________

(NOTE: If the company or division performing this effort is different than the contractor or the relevance of this effort to the instant procurement is impacted by any company/corporate organizational change, note those changes.

B. Program Title: ____________________

C. Contract Specifics:

1. Contracting Agency or Customer _____________________________________________

2. Contract Number __________________________

3. Contract Type __________________________

4. Period of Performance __________________________

5. Initial Contract Cost/Price _________________

6. Current/final Contract Cost/Price _________________

7. Annual Contract $ Value _________________

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

D. Brief Description of Effort:

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 both individuals. For commercial contracts, provide points of contact fulfilling these same roles.)

1. Program Manager/COR: Name ____________________

Office ____________________

Address ____________________

Solicitation #: 47QFLA21R0022

Attachment 06

Telephone ____________________

2. Contracting Officer: Name ____________________

Office ____________________

Address ____________________

Telephone ____________________

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

H. Describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. Also, estimate the percentage of the total proposed effort to be performed by this entity.