Attachment_5_PI_Draft_jwd_08022018.docx

FOR OFFICIAL USE ONLY

RFP No. DJF-18-0017-PR-0010907 Research Support Services – HIG Attachment 5 Performance Information Sheet

U.S. Department of Justice Federal Bureau of Investigation Professional Services Acquisition Unit Washington D.C

August XX, 2018

Attachment 5 Performance Information (PI) Sheet

Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. Limit the number of past/present performance sheets submitted and the length of each submission to the limitations set forth Attachment 4 Instruction to Offerors (Simplified), paragraph 1a(2)(b) Past/Present Performance.

A. Offeror Name (Company/Division): ____________________ CAGE Code: ____________________ DUNS Number: ____________________

B. Program Title: ____________________

C. Contract Specifics:

1. Contracting Agency or Customer: __________________________________________

2. Contract Number: _______________________________________________________

3. Contract Type __________________________

4. Period of Performance: __________________________

5. Original Contract $ Value: _________________ (Do not include unexercised options)

6. Current Contract $ Value: _________________ (Do not include unexercised options)

7. If Amounts for 5 and 6 above are different, provide a brief description of the reason ____________________________________________________________________________________________________________________________________________________________________________________________________

D. Brief Description of Effort as __Prime or __Subcontractor

E. Completion Date:

1. Original date: ____________________

2. Current Schedule: ____________________

3. Estimate at Completion: ____________________

4. How Many Times Changed: ____________________

5. Primary Causes of Change: _______________________________________________

F. Primary Customer Points of Contact: (For Government contracts, provide current information on all individuals. For commercial contracts, provide points of contact fulfilling these same roles).

G. Address any technical (or other) area about this contract/program considered unique.

H. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting.

I. Identify whether a subcontracting plan was required by the contract you are submitting. If one was required, identify, in percentage terms, the planned versus achieved goals during contract performance. If goals were not met, please explain.

FOR OFFICIAL USE ONLY

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