Attachment 13 - Present Past Performance Information.pdf

FA449725R0010

Attachment 13

FOR OFFICIAL USE ONLY

WHEN FILLED IN THIS DOCUMENT IS SOURCE SELECTION SENSITIVE INFORMATION IAW FAR 2.101 & 3.104

PRESENT/PAST PERFORMANCE INFORMATION (PPPI)

Provide the information requested in this form for each contract/program 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 past efforts submitted to the limitations set forth in Section L, Instructions to Offerors, paragraph L-2.6.1 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, please note those changes accordingly.)

B. PROGRAM TITLE:

C. CONTRACT SPECIFICS

1. Contracting Agency or Customer:

2. Contract Number (include order number if applicable):

3. Contract Type (FFP, cost, etc)

4. Period of Performance:

(Note option years, if applicable)

5. Original Contract $ Value:

(Including all option years, if applicable)

6. Current Contract $ Value:

(Including all option years, if applicable)

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

D. BRIEF DESCRIPTION OF EFFORTS AS

PRIME OR

SUBCONTRACTOR: (Please highlight portions considered most relevant to the current acquisition. Discuss efforts/management actions accomplished to successfully overcome and resolve any problems encountered.)

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E. COMPLETION DATE:

1. Original Date:

2. Current Schedule:

3. Estimate at Completion:

4. Number of Times Changed:

5. Primary Causes of Change:

F. PRIMARY CUSTOMER POINTS OF CONTACT (POCs): (Identified POCs should be individuals most knowledgeable about your performance, i.e., contracting officers, technical representatives, program manager, or the commercial equivalent of these individuals. Please identify a minimum of two (2) POCs for each contract. Questionnaires shall be sent to these same individual(s) IAW Section L, Instructions to Offerors, Paragraph L-5.2.6, Past Performance Information, of this solicitation.)

1. Name:

Office:

Telephone:

E-mail:

2. Name:

Office:

Telephone:

E-mail:

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

H. Describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. 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).

I. Identify and explain which aspects of the proposed effort and how they relate to the requirement described in this solicitation.

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J. Throughout the entirety of this project, were there other contracts that you were simultaneously managing? If so, please describe your methods and or approach to supervising/administering multiple contracts. Please note the exact quantity and magnitude (complexity), of other simultaneous on-going projects.

K. Have you ever participated in a Simplified Acquisition of Base Engineering Requirement (SABER) contract?

If so, please specify the details of the requirement. Additionally, please note the place of performance for the length of the contract, (e.g., John Doe AFB).

L. Provide a self-assessment of your past performance record by sharing information on any problems encountered or adverse past performance information and your corrective actions.