Atch. 5 - Past Performance Summary Sheet.docx

FA3002-25-R-0010

Attachment 5

ATTACHMENT 5

PAST PERFORMANCE SUMMARY SHEET (PPSS)

NOTE: If the company or division performing this effort is different than the offeror, or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes.

General Instructions

A. Provide the information requested in this form for each contract/program being described. Provide concise comments regarding your performance on the contracts you identify.

B. Limit the number of present/past efforts submitted to three (3).

C. Submit information on contracts that you consider relevant IAW the solicitation in demonstrating your ability to perform the proposed effort. Include rationale supporting your assertion of relevance and clearly demonstrate what aspects of this contract/program relate to the scope, size, and complexity of the proposed effort. If only a portion of the contract/program is relevant, make it very clear what portion you consider relevant in relation to the proposed effort.

Recency and relevancy are defined in the solicitation. In addition to the assertion of relevance, include any other information demonstrating customer satisfaction, quality of service, or performance metrics etc. related to the contract/program submitted.

Offeror Name (Company/Division):_______________________________________________ CAGE Code: ___________________________ UEI Number: ________________________

SECTION I - Contract Identification A. Program Title: _______________________________________________________________ B. Contractor (Company/Division):_________________________________________________ Subcontractor (Company Name): ____________________________________________ C. Contractor Cage Code: ________________________________________________________ D. Contract Number: ____________________________________________________________ E. Contract Type (e.g., FFP, FPIF, CPFF):___________________________________________

If yes, how was it set aside? _________________________________________________ H. Period of Performance: ________________________________________________________ I. Contract Dollar Value:

i. Initial contract dollar value (do not include unexercised options):$_________________

ii. Current contract dollar value (do not include unexercised options): $_______________

iii. Reasons for differences between initial and current dollar value (if applicable):

iv. Average annual value: $ _____________ J. Brief Description of Effort as: Prime (__) Subcontractor (__)

K. Brief description of any performance issues and corrective measures, if any:

SECTION II - Points of Contact (POC)

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

Program (Site) Manager Name ________________________________________________ Office ________________________________________________ Address ______________________________________________ Telephone _____________________________________________ Email ________________________________________________

Contracting Officer (CO) Name ________________________________________________ Office ________________________________________________ Address ______________________________________________ Telephone _____________________________________________ Email ________________________________________________

Administrative CO Name ________________________________________________ Office ________________________________________________ Address ______________________________________________ Telephone _____________________________________________ Email ________________________________________________