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ATTACHMENT 0011 PAST PERFORMANCE QUESTIONNAIRE

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Sheet1

Attachment 0013
Past Performance Questionnaire Tracker
(1) Contract Number /
Delivery Order Number(2) Contract /

Delivery Order Type (3) Progarm Title (4) Performance (5) Point of Contact (6) Date

DD/MM/YYYY

NAME:

TITLE:

PHONE:

EMAIL:

NAME:

TITLE:

PHONE:

EMAIL:

NAME:

TITLE:

PHONE:

EMAIL:

Attachment 0012
Past Peformance Questionnaire Tracker

Insturctions (Reference L.4.6):

The offeror is requested to prepare and submit to the Contract Specialist, prior to the closing date of the Request for Proposal (RFP), a Past Performance Questionnaire Tracker (Attachment 0012) of the references to whom the offeror sent the Past Performance Questionnaires. The completed Attachment 0012 shall be sent to the Contract Specialist via email to usarmy.detroit.acc.mbx.wrn-atsiii@mail.mil and shall contain the following information prepared in the following format:

(1) Contract Number / Delivery Order Number;

(2) Contract / Delivery Order Type (example: Firm-Fixed-Price));

(3) Program Title, including a brief (200 words or less) description of work performed;

(4) Performance: Enter "P" if performed as a prime contractor or "S" if performed as a subcontractor;

(5) Point of Contact name, telephone number, and email address of either the Program Manager (PM) / Administering Contracting Officer (ACO) / Procuring Contracting Officer (PCO) / Contracting Officer's Representative (COR) or equivalent; and

(6) Date the offeror sent the Past Performance Questionnaire to the individual listed in paragraph (5) above.

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