Atch 4 PP Information Sheet (PPIS).docx
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- Solicitation number
- FA480122R0001
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Sol#. FA480122R0001
ATTACHMENT 4
PART III
PAST PERFORMANCE INFORMATION SHEET for
REMOTELY PILOTED AIRCRAFT TRAINING SUPPORT (RPATS)
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 efforts submitted and the length of each submission to the limitations set forth in the Instructions to Offerors section of this solicitation.
| A. | Offeror Name (Company/Division): | ____________________ | |
| CAGE Code: | ____________________ | ||
| DUNS Number: | ____________________ | ||
| Performed as __Prime or __Subcontractor |
B. Program Title: ____________________
C. Contract Specifics:
| 1. Contracting Agency or Customer _____________________________________________ | |
| 2. Contract Number | __________________________________________________________ |
| 3. Contract Type __________________________(i.e. Fixed Price, Cost, Time and Material, etc.) | |
| 4. Period of Performance __________________________ | |
| 5. Place of Perfornace _____________________________ | |
| 6. Original Contract $ Value | _________________ (Do not include unexercised options) |
| 7. Current Contract $ Value | _________________ (Do not include unexercised options) |
| 8. If Amounts for 5 and 6 above are different, provide a brief description of the reason ____________________________________________________________________________________________________________________________________________________________________________________________________ |
D. Completion Date:
| 1. Original date: | ____________________ |
| 2. Current Schedule: ____________________ | |
| 3. Estimate at Completion: ____________________ | |
| 4. How Many Times Changed: ____________________ | |
| 5. Primary Causes of Change: ______________________________________________________________ |
E. Primary Customer Points of Contact (PoC): (For Government contracts, provide current information on all three individuals. For commercial contracts, provide points of contact fulfilling these same roles).
| Government PoCs |
| Name |
| Phone # |
Program Manager, Site Manager or COR
Procuring Contracting Officer
Administrating Contracting Officer
| D. | __Prime or __Subcontractor. Using the next two (2) pages, describe the effort your company performed. Provide rationale supporting recency and relevance (as defined in the 52.212-1, Instructions to Offerors and 52.212-2, Evaluations (including Addendums) of the solicitation). Provide frank, concise comments regarding your performance on this contract to substantiate a rating of acceptable as defined in the Instruction to Offeror of the solicitation. Return this no-more than 3-page Attachment per contract with proposal. | |
| 11 October 2022 | Attachment 4 | Page 2 of 2 |
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