A- 02 GPS Attachment 0005 - Past Performance Info Sheet - Draft for Final.pdf

W519TC-24-R-0011 Attachment 0005 DRAFT

PAST PERFORMANCE INFORMATION (PPI)

A. General Information.

Offeror Name (Company/Division)* CAGE Code DUNS Number Program Title

Contracting Agency or Customer

Contract Number Task/Delivery Order Number (if applicable)

Subcontract Number (if applicable)

Contract Type (i.e., FFP)

Period of Performance (PoP) Total Contract $ Value (including all option years) Place(s) of Performance (include if CONUS or OCONUS)

*NOTE: If the company or division referenced above is different from the offeror, note those changes.

B. Brief Description of Effort as (check) Prime Subcontractor Teaming Partner Joint

Venture Other (Specify) __________________________________________

*NOTE: If Prime is checked above, offerors must submit all completed CPARS reports related to the effort listed above, to include interim and final reports. CPARS reports shall be in sequential order from the performance start date and attached to the referenced PPI. CPARS reports are exempt from the page count.

If subcontractor, teaming partner or joint venture, please calculate the percentage of work performed based on total contract value _________________________________________

Provide a brief description of services provided under this contract. Provide details on how the PPI reference is relevant in demonstrating the ability to perform this effort and explain how/why the referenced contract is relevant to the proposed effort. PLEASE include information on FTE count, site locations, and labor categories employed under the referenced PPI.

C. Describe the nature and portion (percentage) of the work to be performed on the SOC E effort by the company referenced on this PPI and whether performing as the Prime, subcontractor, or a corporate division related to the prime (define relationship).

D. Primary Customer Points of Contact. For Government contracts, provide current information on Program Manager, Contracting Officer and Administrative Contracting Officer. For commercial contracts, provide points of contact fulfilling these same roles.

W519TC-24-R-0011 Attachment 0005 DRAFT

PAST PERFORMANCE INFORMATION (PPI)

Program Manager/Site Manager/Quality Assurance Evaluator (specify which):

Name

Office Address Telephone

FAX

Email

Procuring Contracting Officer:

Name

Office Address Telephone

FAX

Email

Administrative Contracting Officer:

Name

Office Address

Telephone

FAX

Email

Other (Please specify):

Name

Office Address Telephone

FAX

Email