ATCH 10 Contractor Past Performance Information (PPI) 8 Apr 2026.pdf
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- PCI DSS Compliance Technical Support
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- F41999-26-Q-0055
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This is a Contractor Past Performance Information (PPI) template form used to document contractor references and historical project performance. Contractors are required to submit a minimum of three (3) completed worksheets, one for each reference, to demonstrate their qualifications and experience on similar projects completed within the last five (5) years.
The form requires detailed documentation for each reference including the reference company name, physical and mailing address, and primary point of contact with phone and email information. For each referenced project, contractors must provide the program/project title, contract or solicitation number, and a comprehensive description of the contract/project effort including magnitude and complexity relative to the solicitation requirements. The form captures contract type (e.g., Firm Fixed Price, Time and Materials, Cost Plus), original and current/actual period of performance, number of scope or requirements changes with primary causes, original and current/actual dollar values with change frequency, current completion status or percentage completion, and contract value including all changes and exercise options. Additionally, contractors must identify all sub-contractors and key team members who participated in the referenced project, providing name, title, affiliation, business address, and telephone and fax numbers for each participant. This comprehensive documentation allows evaluators to assess contractor capability, experience managing similar work, cost and schedule performance, and the strength of the proposed team.
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ATCH 10 - Contractor Past Performance Information
8 APR 2026
CONTRACTOR PAST PERFORMANCE INFORMATION (PPI)
(The Contractor will fill out one worksheet for each reference. A minimum of three (3) references are required. Please type or print clearly.)
CONTRACTOR SUBMITTING REFERENCE:
1. Reference Company/Division Name:
2. Reference Company Physical and Mailing Address (if different):
3. Reference Company Contact (POC):
Name & Title:
Phone Number:
Email:
4. Program/Project title for similar projects that have been completed within the last five (5) years:
5. Contract number/solicitation number for referenced project or program (as applicable):
6. Description of the contract/project effort (please include magnitude and level of complexity as compared to our project requirements):
7. Type of contract/project – list all that apply (e.g., Firm Fixed Price, Time and Materials, Cost Plus):
8. Period of performance:
a. Original schedule:
b. Current or actual schedule:
c. Number of project scope or requirements changes over the course of the contract, up to and including product/application sustainment:
d. Primary causes of changes:
9. Contract dollar value at time of selection/closing:
a. Original project dollar value:
b. Current or actual value at time of completion:
c. Number of times it was changed:
d. Primary causes of changes:
10. Current or actual contract value including all changes and exercise options:
11. Current or actual completion date, and if not complete, percentage of completion:
12. Specify role(s) of any sub-contractors (if any) and the person(s) and/or organization(s) identified as participants in the referenced project (please provide name, title, affiliation, business address, and telephone and fax number for each of the team members):
Name/Title:
Affiliation:
Business Address:
Telephone & Fax Numbers:
Name/Title:
Affiliation:
Business Address:
Telephone & Fax Numbers:
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