Past_Performance_Information_Sheet_PASTPERFSEC1.xlsx
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Past Performance Information Sheet PASTPERFSEC1
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Past Performance Sample
TECHNICAL FACTOR 3 PAST PERFORMANCE
INSTRUCTIONS If an Offeror intends to submit a reference for an Indefinite Delivery Indefinite Quantity (IDIQ) contract, General Service Administration (GSA) or a Blanket Purchase Agreement (BPA), the Offeror shall submit single orders placed under an IDIQ contract (under FAR 16.501-1); or a single call order placed under a BPA (FAR 8.405-3, 13.303). Each task/call order submitted will be considered one of the references permitted per the above guidance. An IDIQ/BPA/GSA contract reference without an order number will not be considered in the past performance evaluation.
If the offeror and any major subcontractor performed as a sub contractor identified in CHART A Row 18 you shall than fill out Chart B accordingly.
| Sample 1 for Prime | Sample 2 for Prime | Sample 1 for Major Subcontractor | Sample 2 Major Subcontractor | |||||||
| Chart A | Prime Reference 1 | Prime Reference 2 | Prime Reference 3 | Major Subcontractor 1 Reference 1 | Major Subcontractor 1 Reference 2 | Major Subcontractor 2 Reference 1 | Major Subcontractor 2 Reference 2 | Major Subcontractor 3 Reference 1 | Major Subcontractor 3 Reference 2 | |
| Contractor Name | XYZ | 123 | Acme Subcontracting | Acme Subcontracting | ||||||
| CAGE Code | CAGE1 | CAGE2 | CAGE3 | CAGE3 | ||||||
| DUNS | 88888888 | 77777777 | 66666666 | 66666666 | ||||||
| Contractor Address | 123 Government Drive, Pemberton, NJ 07453 | 456 Army Drive, Pemberton, NJ 07453 | 12 Smith Blvd. | |||||||
| Browns Mills, NJ 08640 | 12 Smith Blvd. |
Browns Mills, NJ 08640
| Contract Number | W91CRB-12-D-0004 | W91CRB-13-A-0001 | GS-06F-0618Z | W15QKN-18-C-0000 |
| Task Order/Delivery Order/ Call Order/GSA Order | Task Order NH01 | Call Order 0002 | GST0913BH0072 | |
| Reference Contract (Also, fill Out Chart in Section B in GREEN if performed as Prime/Sub) | Prime | Subcontractor | Prime | Prime |
| Period of Performance | 01-Dec-12 - 30-Nov-15 | 01-Dec-12 - 30-Nov-15 | 01-Dec-12 - 30-Nov-15 | 01-OCT-17 - 30-SEP-20 |
| Contract Type | CPFF | FFP | FFP | CPFF |
| Awarded Price/Cost | $ 1,500,000.00 | $ 1,000,000.00 | $ 1,000,000.00 | $ 5,000,000.00 |
| Final or Projected Final Cost/Price | $ 1,300,000.00 | $ 1,000,000.00 | $ 1,000,000.00 | $ 5,000,000.00 |
| Place of Performance | Afghanistan | Ft. Belvoir | Ft. Belvoir | Germany |
| Government Contracting Activity | Army Contracting Command - Aberdeen Proving Ground (ACC-APG) | Army Contracting Command - New Jersey (ACC-NJ) | ACC-APG | ACC-APG |
| Contracting Officers (KO) Name, current e-mail adress, and telephone | Jane Doe; (555) 555-5555; jdoe.civ@mail.mil | Jane Doe; (555) 555-5555; jdoe.civ@mail.mil | Jane Doe; (555) 555-5555; jdoe.civ@mail.mil | Fred Smith; (990) 797-9179; |
fsmith.civ@mail.mil
| Government contract administration office (DCMA) | DCMA Philadelphia | DCMA Philadelphia | DCMA Philadelphia | DCMA Manassas |
| Administrative KO (ACO) name, current e-mail adress and telephone | Sally Smith; sally.smith@dcma.mil; (555) 555-5555 | Sally Smith; sally.smith@dcma.mil; (555) 555-5555 | Sally Smith; sally.smith@dcma.mil; (555) 555-5555 | Julie Justice; julie.justice@dcma.mil ; |
(383) 435-2623
| Defense Contract Audit Agency (DCAA) Office | DCAA Pennsylvania Branch Office | DCAA Pennsylvania Branch Office | DCAA Pennsylvania Branch Office | DCAA Virginia Office |
| DCAA POC, current e-mail adress, and telephone | John Smith; John.smith@dcaa.mil; (555) 555-5555 | John Smith; John.smith@dcaa.mil; (555) 555-5555 | John Smith; John.smith@dcaa.mil; (555) 555-5555 | Frannie Far; Frannie.far@dcaa.mil; |
(345) 897-4749
| Termination for Default | No | No | No | No |
| Notice of Default | No | No | No | No |
| No-Cost Settlement | No | No | No | No |
| Cure Notice | No | No | No | No |
| Suspension or Debarment | No | No | No | No |
| Security Suspensions or Revocations | No | No | No | No |
| Notifications received for Violation of FAR 32.006 | No | No | No | No |
INSTRUCTIONS Perfomed as a Subcontractor for Reference identified in Chart A, Row 11 above.
| Sample | |
| Chart B | |
| Reference Number from Row 11 | Prime Reference 2 |
| Period of Performance | 02-Feb-14 - 01-Feb-15 |
| Contract Type | FFP |
| Cost of the Subcontract | $ 200,000.00 |
| Final or Projected Final Cost/Price | $ 200,000.00 |
| Place of Performance | Ft. Belvoir |
Past Performance Chart
TECHNICAL FACTOR 3 PAST PERFORMANCE
INSTRUCTIONS If an Offeror intends to submit a reference for an Indefinite Delivery Indefinite Quantity (IDIQ) contract, General Service Administration (GSA) or a Blanket Purchase Agreement (BPA), the Offeror shall submit single orders placed under an IDIQ contract (under FAR 16.501-1); or a single call order placed under a BPA (FAR 8.405-3, 13.303). Each task/call order submitted will be considered one of the references permitted per the above guidance. An IDIQ/BPA/GSA contract reference without an order number will not be considered in the past performance evaluation.
If the offeror and any major subcontractor performed as a sub contractor identified in CHART A Row 18 you shall than fill out Chart B accordingly.
| Chart A | Prime Reference 1 | Prime Reference 2 | Prime Reference 3 | Major Subcontractor 1 Reference 1 | Major Subcontractor 1 Reference 2 | Major Subcontractor 2 Reference 1 | Major Subcontractor 2 Reference 2 | Major Subcontractor 3 Reference 1 | Major Subcontractor 3 Reference 2 |
| Contractor Name | |||||||||
| CAGE Code | |||||||||
| DUNS | |||||||||
| Contractor Address | |||||||||
| Contract Number | |||||||||
| Task Order/Delivery Order/ Call Order/GSA Order | |||||||||
| Reference Contract (Also, fill Out Chart in Section B in GREEN if performed as Sub) | |||||||||
| Period of Performance | |||||||||
| Contract Type | |||||||||
| Awarded Price/Cost | |||||||||
| Final or Projected Final Cost/Price | |||||||||
| Place of Performance | |||||||||
| Government Contracting Activity | |||||||||
| Contracting Officers (KO) Name, current e-mail adress, and telephone | |||||||||
| Government contract administration office (DCMA) | |||||||||
| Administrative KO (ACO) name, current e-mail adress and telephone | |||||||||
| Defense Contract Audit Agency (DCAA) Office | |||||||||
| DCAA POC, current e-mail adress, and telephone | |||||||||
| Termination for Default | |||||||||
| Notice of Default | |||||||||
| No-Cost Settlement | |||||||||
| Cure Notice | |||||||||
| Suspension or Debarment | |||||||||
| Security Suspensions or Revocations | |||||||||
| Notifications received for Violation of FAR 32.006 |
INSTRUCTIONS Perfomed as a Subcontractor for Reference identified in Chart A, Row 11 above.
| Chart B |
| Reference Number from Row 11 |
| Period of Performance |
| Contract Type |
| Cost of the Subcontract |
| Final or Projected Final Cost/Price |
| Place of Performance |
DRAFT
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