Attachment_2_-Past_Performance_Information_Sheet_PASTPERFSEC1.xls

XLS spreadsheet 35 KB Posted

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Sample Data Collection Services for AMSAA
Solicitation number
W91CRB-17-R-0028
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ATTACHMENT 2

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Past Performance Sample 2

Offeror:Enter Your Company's Name i.e., XYZ** Per the instructions, in addition to recent and relevant contract list, you must include ALL contracts in the past five years that have had any of the following: termination for default, cure notice, suspension or debarment, security suspensions or revocations, or notifications received for violations of FAR 32.006 regardless of whether the contract was relevant to this effort.
Sample 1 for PrimeSample 2 for PrimeSample for Prime's Sub Under This Effort (not subs on past efforts)
Contractor NameXYZXYZAcme Subcontracting
Prime or Subcontractor Under Our EffortPrimeSubSub
Contract NumberW91CRB-12-D-0004W91CRB-13-D-0001W91CRB-13-D-0001
Prime or Sub Under Recent and Relevant Contract EffortPrimePrimePrime
Period of Performance01-Dec-12 - 30-Nov-1301-Dec-12 - 30-Nov-1301-Dec-12 - 30-Nov-13
Place of PerformanceAfghanistanFt. BelvoirFt. Belvoir
CAGE CodeCAGE1CAGE1CAGE1
DUNS888888888888888888888888
Customer POCJane DoeJane DoeJane Doe
POC Telephone(555) 555-5555(555) 555-5555(555) 555-5555
POC Emailjdoe@email.comjdoe@email.comjdoe@email.com
Contract TypeCPFFFFPFFP
Awarded Price/Cost$ 1,500,000.00$ 1,000,000.00$ 1,000,000.00
Final or Projected Final Cost/Price$ 1,300,000.00$ 1,000,000.00$ 1,000,000.00
Termination for DefaultNoNoNo
Notice of DefaultNoNoNo
No-Cost SettlementNoNoNo
Cure NoticeNoNoNo
Suspension or DebarmentNoNoNo
Security Suspensions or RevocationsNoNoNo
Notifications received for Violation of FAR 32.006NoNoNo

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