Attach 6_Past Performance Information (PPI) Sheet_23R0005.docx

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Attached to
Nurse Case Managers Federal contract opportunity
Solicitation number
W81K00-23-R-0005
Issued by
Department of the Army Medical Command

About this file

This document package includes a solicitation and attachments for a personal services contract to provide nurse case managers. The U.S. Army Medical Command is seeking proposals from 8(a) small businesses to award a firm-fixed-price contract, with a one-year base period and four one-year options, to support Brooke Army Medical Center by providing twenty full-time nurse case managers. Proposals are due by January 16, 2023. The contract will utilize NAICS code 621399 and has a small business size standard of $9 million. The solicitation and seven attachments provide instructions, pricing worksheets, compensation plans, past performance questionnaires, and the performance work statement requiring the contractor to furnish nurse case managers to provide patient-centered case management at the medical center.

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Text version

W81K00-23-R-0005

Attachment 6 Past Performance Information (PPI) Sheet

Request the Offeror complete separate PPI Sheets for each relevant Task Order or Contract. PPI sheets are to be submitted in Volume II as one complete volume, not separate attachments for each project. See ADDENDUM TO FAR 52.212-1, Volume II - Past Performance, of this solicitation for detailed instructions and limits on number of projects. Offeror is requested to provide frank, concise comments regarding present/past performance on the project identified in Paragraph B below.

If the Task Order or Contract being submitted is an ordering type contractual vehicle (for example, including but not limited to an Indefinite Delivery “D” type contract per FAR 16.5), only after issuance of a delivery/task order does performance occur. The Contract Number, Total Contract Dollar Value, Period of Performance, Type and Complexity of Services provided submitted here should be for the order the Offeror has performed under this ordering type contractual vehicle.

NOTE: Past performance reference projects performed by a proposed teaming partner or a proposed subcontractor will only be considered if: (1) the Offeror submits at least one recent and relevant past performance project that the Offeror has performed, as a prime; (2) the teaming partner or subcontractor is identified as a teaming partner or subcontractor in the administrative volume of the proposal, and (3) the role and percentage of work proposed to be performed by the teaming partner or subcontractor on the proposed requirement is detailed in the proposal. Items (2) and (3) shall be identified in the administrative volume.

Offerors shall utilize this attachment to complete PPI submission.

Past Performance Information Sheet

(TO BE COMPLETED BY OFFEROR)

Blue text may be removed prior to submission Do Not Exceed 3 Pages

A. OFFEROR:

(1) Name (Company/Division):

(2) Address:

(3) CAGE and DUNS:

B. PROJECT TITLE and TASK/DELIVERY ORDER/CONTRACT NUMBER:

Project Title and Task Order/Contract Number must be the same as the PPQs provides. If submitting ordering type contract: List the basic contract number and task order number for the project cited.

C. Role of the Offeror In Effort: |_| Prime Contractor 󠅈|_| Subcontractor Note that the information provided in the PPI Sheet shall reflect the role that the Offeror performed in the effort. An Offeror who performed as a subcontractor shall identify the contract type, dollar value, description, etc. of its subcontract with the prime contractor. Joint Ventures (JV) shall clearly identify which JV member the project corresponds to and identify the contract type, dollar value, description, etc.

D. NAME OF CONTRACTING ACTIVITY OR CUSTOMER:

E. CONTRACT TYPE(S) – CHECK ALL THAT APPLY

|_| Firm Fixed Price |_| Time and Materials

|_| Cost |_| Other (Explain):

F. TOTAL CONTRACT DOLLAR VALUE:

If you performed work as a subcontractor, identify your total contract dollar value and the PRIME’s total contract dollar value, if known. Describe any changes in dollar value that may have occurred from time of award to the conclusion of the effort or the present, whichever is applicable.

1. Original Total Task Order/Contract Dollar Value:

2. Current Total Task Order/Contact Dollar Value:

3. Explain the differences in Total Contract Value, if applicable:

Enter an explanation of the difference between the Original Total Task Order/Contract Dollar Value and the Current Total Task Order/Contract Dollar Value as of the time of proposal submission.

G. PERIOD OF PERFORMANCE:

1. Start Date: Input start date of contract/order.

2. Original End Date: Input original end date of contract/order.

3. Current End Date (if changed): Input end date, as the contract/order stands at time of proposal submission.

H. FTEs/TYPE/COMPLEXITIES OF SERVICES:

Include the number of FTEs, type and complexities of services provided for each contract/order. An Offeror who performed as a subcontractor shall identify the number/type of FTEs of its subcontract with the prime contractor.

I. BRIEF DESCRIPTION OF EFFORT:

As a part of this narrative description, highlight portions considered most relevant to the current requirement; addressing how and to what extent this project relates to the current requirement.

PLEASE NOTE: The Government is not bound by the Offeror's opinion of relevancy. The Government will perform an independent assessment of relevancy of the data provided or obtained.

J. PRIMARY POINTS OF CONTACT: The Offeror is responsible for exerting its best efforts to ensure that current information is provided for all individuals.

Name and Office Symbol
Phone Number
Email

Procuring Contracting Officer

Program Manager

Administrative Contracting Officer

Other (Please Specify)

K. SUMMARY OF TASK ORDER/CONTRACT ISSUES:

Summarize contract issues relative to the number and severity of quality deficiencies recorded/contract discrepancy reports issued, termination for cause, disputes, claims, and/or corrective actions taken for this project.

L. ADDITIONAL INFORMATION (IF APPLICABLE):

Additionally, for those efforts where you are cognizant of unfavorable and/or marginal past performance ratings/reports previously assessed by customers or clients, but feel that significant progress has been made but not yet credited or formally documented, provide the program name, contract number, customer location and a narrative explaining "fixes" made to date, or any other information regarding the unfavorable/marginal assessment. This narrative portion is limited to one (1) additional page beyond the PPI sheet required page limitation. It is not presumed that performance has been perfect. Rather, the proposal should contain evidence of the Offeror's ability to isolate the root causes of problems and should describe actions taken to resolve those causes. Demonstrated corrective actions (not just planned or promised), and the overall work record will be considered. Problems not addressed, but found by the Government during the evaluation of the information in this volume, will be assumed to still exist. Note: If your input has already been provided in Contractor Performance Assessment Report System (CPARS) and the rationale/ circumstances have not changed, DO NOT repeat here.

FOR OFFICIAL USE ONLY

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