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CUI
ATTACHMENT 1 – Past Performance Template
INSTRUCTIONS
Complete a copy of this template for each project submitted.
CONTRACTOR
| Contractor Name: |
| Name of the Contractor Team Leader or Team Member. |
| Contract Number: |
| If available. |
| Relevant Contact: |
| Name of the Contractor Point of Contact for referenced effort. |
| Location: |
| Address of relevant contact. |
| Phone Number: |
| Contact number for Contractor Point of Contact, including area code or international prefixes. |
| E-mail address: |
| E-mail address for Contractor Point of Contact. |
CUSTOMER OVERVIEW
| Customer Name: |
| Name of the customer organization, including specific division(s) as appropriate for which services are/have been provided. |
| Number of Employees: |
| Number of employees in the organization, as well as an estimate or range of the number of employees/users impacted by the given program noted. |
| Geographic Coverage: |
| Identify the countries/regions/states in which the customer services were provided. |
| Customer Contact: |
| Name of the customer’s Program Manager, Sponsor, or other representative with personal interaction with the project described herein. This individual noted should have had personal responsibility and accountability for the success of the program. If more than one representative is provided, include all information for each representative. |
| Title: |
| Customer Contact’s stated title. |
| Phone Number: |
| Contact number for Customer Contact, including area code or international prefixes. |
| E-mail Address: |
| E-mail address for Customer Contact. |
| Mailing Address: |
| Customer Contact’s mailing address. |
PROJECT SUMMARY
General / Contractual
| Term of Engagement (start/end): |
| Identify start and end dates for the given engagement. |
| Contract Type: |
| Describe the contract vehicle(s) applied (e.g., Fixed Price, T&M, Performance/incentive based etc.), including any applicable risk/reward incentive arrangements. |
| Dollar Value: |
| Denote the $US value of the program / Denote the $US value of that part of the program for which you were contracted. |
| Locations in Scope: |
| Identify the countries/regions/states, which are relevant to the program defined in the referenced contract. |
| Scope of engagement: |
| Describe the services performed for the customer, |
| Comparison: |
| Compare the work of this project to the work under the RFQ. |
Performance
| Performance Quality |
| Describe your company’s success in completion of the project, to include the degree of conformance to contractual requirements and the completion of reports and deliverables. |
| Schedule and Budget |
| Describe your company’s ability to stay on schedule and within budget during contract performance. |
| Customer Service |
| Describe your company’s commitment to customer satisfaction during performance of the contract. |
| Issues |
| Describe any problems and issues encountered during contract performance and discuss your company’s effectiveness in addressing these issues. Please discuss any corrective actions your company implemented in order to resolve contractor performance issues, if any. |
| Small Business Subcontracting |
| Discuss whether there were any subcontracting goals under the project, and your company’s success in meeting those goals. |
Benefits Realized
| Performance Metrics: |
| Describe the metrics used for evaluating the success of the program. |
| Business Benefits: |
| Describe the operational, technical, and business performance benefits achieved due to this program. If benefits were not realized, indicate why. |
Industry Best Practices Employed
Describe industry best practices employed by your company and engagements where they are currently used on a recurring basis.
Controlled Unclassified Informtion (CUI) 2 Source Selection Information – See FAR 2.101 and 3.104 image1.emf
Defense Logistics Agency