Attachment 2Past Performance Summary Sheet.docx

This is a Past Performance Summary Sheet template designed for contractors responding to Solicitation W81K0026RA027. The form requests detailed information about relevant past performance projects that demonstrate a contractor's capability to perform the work required.

Contractors must provide one completed summary sheet per project, limited to three pages per project. Required information includes company name and CAGE code, identification of whether the company is a sub or prime contractor, and the specific contract or task order number with period of performance. For IDIQ contracts, contractors must reference the task order number rather than the basic contract number. The form requires current points of contact with email addresses and phone numbers, preferably from both the contracting office and end user/customer. Contractors must describe the effort by labor categories, service locations, and number of full-time equivalents (FTEs) performed. The template also requests contract or task order award amounts broken down by base year and up to four option years, and status of project performance including the number of successfully completed years, any terminations, or modifications for scope changes. This information allows the government to evaluate contractor experience and capability relevant to the ground ambulance services and support staff requirements for Fort Leavenworth, Kansas Garrison Emergency Medical Services.