Attachment_2_Reference_Information_Sheet.pdf

ATTACHMENT 2

REFERENCE INFORMATION SHEET

1. Complete Name of Reference (Government agency, commercial firm, or other organization)

2. Complete Address of Reference

3. Contract Number or other control number

4. Date of contract

5. Date work was begun

6. Date work was completed

7. Contract type, initial contract price, estimated cost and fee, or target cost and profit or fee

8. Final amount invoiced or amount invoiced to date

9a. Reference/Technical point of contact (name, title, address, telephone no.

and email address)

9b. Reference/Contracting point of contact (name, title, address, telephone no. and email address)

10. Location of work (country, state or province, county, city)

11. Current status of contract (choose one):

[ ] Work continuing, on schedule [ ] Terminated for Convenience

[ ] Work continuing, behind schedule [ ] Terminated for Default

[ ] Work completed, no further action pending or underway [ ] Other (explain) [ ] Work completed, routine administrative action pending or underway

[ ] Work completed, claims negotiations pending or underway

[ ] Work completed, litigation pending or underway

12 Provide a summary description of contract work, not to exceed one page in length (Single or double-spaced). Describe the nature and scope of work, its relevancy to this contract, and a description of any problems encountered and your corrective actions. Attach the explanation to this form.