attachments to S5105A-11-Q-0011.docx

Part I – Offeror Contract Performance Information (ATTACHMENT 1) Information To Be Completed by Offeror Provide a Minimum of Three References

Name of Agency/Command/Company Contracting Activity:

Contract number:

Contract type:

Total contract value (Include exercised an unexercised options) At time of award: $ Currently (or at completion): $

Period of performance or delivery schedule (Include exercised an unexercised options) At time of award:

Currently (or at completion):

Brief description or title of contract requirements. Use space as needed, but do not exceed one typewritten page per contract.

Procuring Contracting Officer (PCO) Use current name as point of contact for on-going contracts or the last individual’s name for completed contracts.

Name:

Telephone number:

Facsimile number:

E-mail address:

Contracting Officer’s Representative (COR) Name:

Telephone number:

Facsimile number:

E-mail address:

Administrative Contracting Officer (ACO):

Name:

Telephone number:

Facsimile number:

E-mail address:

Brief description of any problems encountered and corrective actions taken to resolve those problems. Use space as needed, but do not exceed one typewritten page per contract.

ATTACHMENT 2:

RFQ:

PAST PERFORMANCE SHEET

AGENCY: Date

Name of Offeror: _______________________________________________________________

Information on Past Performance Information Retrieval System (PPIRS) on similar projects:

Contract Number:_______________________________

Agency:______________________________________

1. Reference Firm Contacted

2. Project Title: ____________________________________________________________

3. Contract Number (if known):

4. Name of Key Person Contact:

5. Key Contact Phone No.:

6. Did the Key Contact work directly on the contract referenced? Yes [ ] No [ ]

7. Contract period: From to

8. Brief Description of Work Performed:

9. Quality of Work Performed and Products Delivered:

10. Degree of Cooperation by Contractor and Your Organization.

(a) How well overall did the Contractor work with the Contracting Organization?

11. Timeliness of Contract Work.

(a) Was work completed on time?

(b) Were there any unresolved problems during performance or afterwards? _______

13. Would you recommend the Contractor? Yes No If no explain why

Rating_________ (Rate the past performance as Excellent, Satisfactory, Unsatisfactory, or Neutral) Supporting Comments:

Common DoD Assessment Rating System

Excellent (E) - Performance meets contractual requirements and exceeds many to the Government's benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective.

Satisfactory (S) - Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory.

Unsatisfactory (U) - Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

Neutral (N) – No performance history available.