J-2_-_PPQ(final_draft).pdf

PDF 173 KB Posted

Attached to
Justice and Administration Management Services II Federal contract opportunity
Solicitation number
SINLEC16R0014
Issued by
Department of State Bureau of International Narcotics Law Enforcement

About this file

J-2 Past Performance Questionnaire

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Text version

SOLICITATION SINLEC16C0014

JUSTICE ADMINISTRATION AND MANAGEMENT SUPPORT

FOR OFFICIAL USE ONLY

Company Name: Email:

Name of Point of Contact: Phone Number:

Cage Code: Any Record of Termination(s) for Cause? Yes No

Contract Number: Title:

Contract Type: Dept./Agency: Performance Location:

Name of CO: Name of COR:

CO Email: COR Email:

List Tasks relevant to the proposed contract action:

Award Amt:

Contract Period or Dates of Performance:

Performed as the Prime Contractor Sub Contractor Key Personnel

Contract Number: Title:

Contract Type: Dept./Agency: Performance Location:

Name of CO: Name of COR:

CO Email: COR Email:

List Tasks relevant to the proposed contract action:

Award Amt:

Contract Period or Dates of Performance:

Contract Information

General Information

REFERENCE 1

PAST AND PRESENT PERFORMANCE QUESTIONNAIRE

REFERENCE 2

FOR OFFICIAL USE ONLY

Performed as the Prime Contractor Sub Contractor Key Personnel

Contract Number: Title:

Contract Type: Dept./Agency: Performance Location:

Name of CO: Name of COR:

CO Email: COR Email:

List Tasks relevant to the proposed contract action:

Award Amt:

Contract Period or Dates of Performance:

Performed as the Prime Contractor Sub Contractor Key Personnel

Contract Number: Title:

Contract Type: Dept./Agency: Performance Location:

Name of CO: Name of COR:

CO Email: COR Email:

List Tasks relevant to the proposed contract action:

Award Amt:

Contract Period or Dates of Performance:

Performed as the Prime Contractor Sub Contractor Key Personnel

The undersigned, hereby solemnly affirms that the information provided above are true, correct, and complete.

Signature: Date:

REFERENCE 3

REFERENCE 4

FOR OFFICIAL USE ONLY

The Contractor is experienced in: NONE NOVICE SKILLED EXPERT

≤ 2 Yrs ≤ 5 Yrs

REMARKS:

providing Government sufficient proof of purchase (receipts, invoices, bill of materials) and timely cost reporting smoothly transitioning resources and personnel over to a foreign country accurately forecasting contract cost and perform within contract costs providing advanced notice to the Government of unforeseen costs before they occur hiring and retaining managers and supervisors with the technical and administrative abilities to meet the contract requirements

Performance Information

> 5 Yrs

Experience Level implementing a capacity building project within cost reasonable and cooperatively dealing with government leaders, resolving disputes, external stakeholders, and foreign partners.

implementing a responsive and flexible process to improve quality and timeliness of support establishing an adequate and effective quality control program and adhered to the contract quality assurance requirements hiring, retaining, and managing sub-contracted efforts

Sheet1

Company Name:
Email:
Name of Point of Contact:
Phone Number:
Cage Code:
Contract Number:
Title:
DeptAgency:
Name of CO:
Name of COR:
CO Email:
COR Email:
Award Amt:
undefined_2:
Contract Number_2:
Title_2:
DeptAgency_2:
Name of CO_2:
Name of COR_2:
CO Email_2:
COR Email_2:
Award Amt_2:
Contract Period or Dates of Performance:
Contract Number_3:
Title_3:
DeptAgency_3:
Name of CO_3:
Name of COR_3:
CO Email_3:
COR Email_3:
Award Amt_3:
Contract Period or Dates of Performance_2:
Contract Number_4:
Title_4:
DeptAgency_4:
Name of CO_4:
Name of COR_4:
CO Email_4:
COR Email_4:
Award Amt_4:
Contract Period or Dates of Performance_3:
REMARKS:
Check Box1: Off
Check Box2: Off
Dropdown4: [Fixed Price]
Dropdown3: [Outside the United States]
Text5:
Check Box13: Off
Check Box14: Off
Check Box15: Off
Text16:
Text17:
Text18:
Text23:
Group25: Off
Group26: Off
Group27: Off
Group28: Off
Group29: Off
Group30: Off
Group31: Off
Group32: Off
Group33: Off
Group34: Off
Check Box19: Off
Check Box10: Off
Check Box6: Off

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