Attachment 10 - DRAFT PPIS.pdf

RFP FA445220R0011 – Attachment 10

PAST/PRESENT PERFORMANCE INFORMATION SHEET (PPIS)

Provide the information requested in this form for each contract/program (citation) 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 citations submitted and the length of each submission to the limitations set forth in Attachment 3 & 4, Addendum to FAR Clause 52.212-1, Instructions to Offerors – Commercial Items & Addendum to FAR Clause 52.212-2, Evaluation of Commercial Items, of this solicitation.

A. Offeror Name (Company/Division): ____________________ CAGE Code:____________________ DUNS Number:____________________

(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. Refer to the "Organizational Structure Change History" you provided as part of your Past Performance Volume.)

B. Program Title:____________________

C. Contract Specifics:

1. Contracting Agency or Customer _____________________________________________

2. Contract Number__________________________________________________________

3. Contract Type __________________________

4. Period of Performance __________________________

5. Original Contract $ Value _________________ (Do not include unexercised options)

6. Current Contract $ Value _________________ (Do not include unexercised options)

7. If Amounts for 5 and 6 above are different, provide a brief description of the reason

D. Brief Description of Effort as __Prime or __Subcontractor (Please indicate whether it was development and/or production, or other acquisition phase (or Service) and highlight portions considered most relevant to current acquisition)

E. Completion Date:

1. Original date: ____________________

2. Current Schedule: ____________________

3. Estimate at Completion: ____________________

4. How Many Times Changed: ____________________

5. Primary Causes of Change: _______________________________________________________

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

1. Program Manager and/or Site Manager:

Name ____________________

RFP FA445220R0011 – Attachment 10

Office ____________________ Address________________________________________ Telephone__________________ FAX Number_______________

2. Contracting Officer:

Office ____________________ Address________________________________________ Telephone__________________ FAX Number_______________

3. Administrative Contracting Officer:

Office ____________________ Address________________________________________

Telephone__________________ FAX Number_______________

G. Address any technical (or other) area about this contract/program considered unique.

H. Specifically describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. Describe how your company has implemented new technology in a DoD or commercial setting. Also, estimate the percentage of the total proposed effort to be performed by this entity and whether this entity will be performing as the prime, subcontractor, or a corporate division related to the prime (define relationship). Explain what aspects of the contract is deemed relevant to the proposed effort and to what aspects of the proposed effort they relate. Specifically focus the narrative on relevancy to the Factor 1 Technical subfactors 1 & 2 (Technical Approach and Staffing Approach) and Factor 3 Price, including their relative order of importance (Addendum to FAR 52.212-2, paragraph 2.1), and Scope and Magnitude, and tailor the narrative to the proposed portion of the effort the contractor is proposing to perform.

I. Specify, by name, any key individual(s) who participated in this program and are proposed to support the instant acquisition. Also, indicate their contractual roles for both acquisitions.

J. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting.

K. Describe additional information you deem pertinent.