Att 5 Past_Performance_Information_Template FINAL.pdf

DA-06-T08 | June 2024

PAST PERFORMANCE INFORMATION (PPI)

[RFP Number] [Acquisition name]

Instructions:

1. Provide a separate completed form for each contract/program submitted.

2. Provide frank, concise comments regarding your performance on that contract/program.

3. Section L of the RFP limits the number of contracts/programs submitted and the length of each PPI submission.

A. Company Information (for the contract/program submitted):

Company Name (and Division if needed)1:

Address:

Phone Number:

Email:

CAGE Code:

DUNS Number:

1 Identify if the relevance of this effort to the instant procurement is impacted by any company/corporate organizational change. Refer to the "Organizational Structure Change History" provided as part of the Past Performance Volume.

Relationship to Offeror on the proposed effort2

(Prime, Subcontractor, Affiliate Division, etc)

2 Describe the nature or portion of the work on the proposed effort to be performed by the company being reported here. Estimate the percentage of the total proposed effort to be performed by this company.

Commitments:

___________________________ (Offeror) and __________________________ (Subcontractor) certify that if a contract is awarded resulting from the Offeror's proposal, the parties commit to joint performance as set forth above.

[signature & date]_______________________ [signature & date]_____________________ Offeror Name and Title Subcontractor Name and Title

B. Contract Specifics:

Contract Number:

Task Order Number:

Contract Title/Description of Effort:

Contracting Agency or Customer:

Contract Type:

Original Period of Performance:

If this performance period has changed, explain why:

Initial Contract Cost/Price:

Current/final Contract Cost/Price:

If Amounts for Initial Contract Cost/Price and Current/final Contract Cost/Price above are different, provide a brief description of the reason:

Performed as: Prime _____ OR Subcontractor _____ If you performed as a Subcontractor

1. Provide Prime Contractor's information Prime Contractor’s Name:

Phone Number:

Email:

2. Identify the subcontract value: $_________

C. Description of Effort:

For this PPI, identify the relevant past performance consideration areas from the RFP addressed:

Describe in detail your rationale supporting your assertion of relevance of the submitted contract to the identified past performance consideration area in the box below. Include section and paragraph references to the past performance contract’s Statement of Work (SOW) or Performance Work Statement (PWS) and the corresponding SOW/PWS section and paragraph of the proposed contract. Attach the entire past performance contract SOW/PWS to this form, highlight the applicable paragraphs with a notation identifying the corresponding SOW/PWS section and paragraph that demonstrates the offered past performance.

D. Contacts: Provide two (2) points of contact most knowledgeable of the submitted contract/program.

Position and Name (i.e. Program Manager, PCO, etc.)

Organization:

Address:

Telephone:

Email Address:

Position and Name (i.e. Program Manager, PCO, etc.)

Organization:

Telephone:

Email Address: