Attachment2PerformanceQUESTIONNAIRE.docx

ATTACHMENT 2

W91ZLK-16-T-0207

PAST PERFORMANCE INFORMATION FORM

Past performance will be evaluated. The offeror shall propose the same products and experience in accordance with the specifications and requirements of Attachment 1, which has been provided for at least 3 years. The offeror shall provide no more than two references. Please complete a separate past performance information form for each reference.

Quotes and Past Performance Information Form (ATTACHMENT 2) must be received no later than September 26, 2016, 10:00 A.M. Eastern Time (ET).

Instructions: Offeror’s are to complete a separate form for each past performance reference.

US Army Contracting Command - Aberdeen Proving Ground, Tenant Division in support of ATC Video Telemetry requirements, in accordance with Attachment 1. 6001 Combat Drive, 2nd Floor, Room C2-101, Aberdeen Proving Ground, Maryland 21005-1846. Attention: Ms. Susan Sowa, Contracting Officer via email to Ms. Sowa; susan.l.sowa.civ@mail.mil

1. Complete Reference Address, Phone Number and Point of Contract:

2. Contract number or other reference

4. Date of Contract

5. Date work began

6. Date work was completed

7. Initial contract price

8. Final amount invoiced or amount invoiced to date

9a. Technical point of contact (name, title, address, telephone no., and email address)

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

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

11. Description of contract work. Describe nature and scope of this work. Provide a detailed explanation demonstrating the relevance of the contract to the requirements of the solicitation. (Attach an explanation of any performance problems or other conflicts with the customer. Describe any litigation, pending, on-going, or completed. Use a continuation sheet, if necessary.)

11a. Name(s) of subcontractor(s) used, if any, and a description of the extent of work performed by the subcontractor(s).

11b. Address compliance with requirements of the clauses at FAR 52.219-8, "Utilization of Small Business Concerns," and 52.219-9, "Small Business Subcontracting Plan."

12. 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