Attachment 11 - Past Performance Information Sheet.docx

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Attached to
Airborne Communications and Information Support Amendment 2 Federal contract opportunity
Solicitation number
FA445223R0013
Issued by
Department of the Air Force Air Mobility Command

About this file

This document contains a Past Performance Information Sheet template for the solicitation titled "Airborne Communications and Information Support Amendment 2" issued by the Department of the Air Force Air Mobility Command.

The Past Performance Information Sheet requests offerors provide details of up to three relevant past or present contracts, including the contracting agency, contract number, type, period of performance, annual value, original and current contract values, completion dates and causes of change, and points of contact. Offerors must also describe the work performed and its relevance, key personnel involved and their roles, compliance with small business regulations if applicable, and any additional pertinent information.

The solicitation seeks services including satellite communication engineering support for aircraft and ground communications programs, project engineering support, program management for IT projects, circuit management for IT systems, and Information Assurance and Security Program Management. No pricing, response dates, or award dates are included in the provided information.

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Text version

SAPR FA445223R0013

Attachment 11

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 2, Instruction to Offerors of this solicitation. For this solicitation, the services required include satellite communication engineering suppose for aircraft and ground communication/information programs, project/systems engineering support for communications and information programs, program management/acquisition support for complex IT projects, circuit management activities for IT systems, and Information Assurance Security Program Management and Execution as described in the PWS.

A. Offeror Name (Company/Division): ____________________

CAGE Code:____________________

UEI Number:____________________

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

B. Contract Name/Program Title:_________________________________________________________

C. Contract Specifics:

1. Contracting Agency (with Address) ________________________________________________
2. Contract Number/Task Order Number______________________________________________
3. Contract Type (FFP, Cost Reimbursable, etc.) ______________________________________
4. Period of Performance (Base Year and number of Option Years or Ordering Period) ___________________________________________________________________________________
5. Annual Contract Value ___________________________________________________________
6. 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

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:

1. Program Manager and/or Site Manager:

Name_______________________________________________
Office_______________________________________________
E-Mail Address________________________________________
Telephone_____________________________________________

2. Contracting Officer:

Name_______________________________________________
Office_______________________________________________
E-Mail Address________________________________________
Telephone_____________________________________________

2. Contracting Officer’s Representative (COR):

Name_______________________________________________
Office_______________________________________________
E-Mail Address________________________________________
Telephone_____________________________________________

G. Briefly describe the work performed and how it is relevant to this effort. Specifically focus the narrative on relevancy, scope, and magnitude, and tailor the narrative to the proposed portion of the effort the contractor is proposing to perform.

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

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

J. Describe additional information you deem pertinent.

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