Attachment 3- PPR Information Form (26Q0271).docx

DOCX document 42 KB Posted

Attached to
Mexican Criminal Courts Telepresence
Solicitation number
19AQMM26Q0271
Issued by

About this file

This is a Past-Performance Reference Information Form (PPRIF) template used to document a contractor's relevant prior experience and qualifications for the Mexican Criminal Courts Telepresence solicitation (19AQMM26Q0271) issued by the Department of State Office of Acquisition Management. The form serves as an attachment to proposals and requires contractors to provide comprehensive details about similar past contracts, including the government agency or commercial customer, contract reference number, contract dates (execution, commencement, and completion), contract type and value, final invoiced amounts, and key points of contact across technical, contracting, and environmental regulatory functions. Contractors must also identify all consultants, partners, and subcontractors involved in the referenced work.

The form requires contractors to demonstrate the relevance of their past performance by describing the nature and scope of prior work, explicitly connecting it to the telepresence systems and secure digital communication platforms needed for Mexican border state judiciaries and penitentiaries. Contractors must provide a narrative explanation addressing how their previous experience relates to the current acquisition, discuss any performance issues or conflicts with the customer, and explain corrective actions taken to address shortcomings. The form also requires contractors to indicate the current status of the referenced contract using one of seven predefined categories, ranging from work continuing on or behind schedule to termination for convenience or default. This template is designed to allow the government to evaluate contractor capability, experience, and past performance quality when awarding the telepresence contract.

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PAST-PERFORMANCE REFERENCE INFORMATION FORM

1. Complete name of Government agency, commercial firm, or other organization

2. Complete address

3. Contract number or other reference and type
4. Date of contract
5. Date work commenced
6. Date work was completed or scheduled to be completed
7. Contract Type and Contract Value
8. Final amount invoiced or amount invoiced to date

9a. Technical point of contact (name, title, company/agency, address, telephone number, fax number, and e-mail address) 9b. Contracting point of contact (name, title, company/agency, address, telephone number, fax number, and e-mail address)

9c. Environmental Regulator point of contact (name, title, company/agency, address, telephone number, fax number, and e-mail address) Complete only if applicable

10. Consultants and partners/subcontractors used (names, addresses, and phone numbers1

11. Project/Contract Title

12. Description of contract work (Describe nature and scope)

Attachment 2– PPRIF RFQ – 19AQMM26Q0271

UNCLASSIFIED//FOR OFFICIAL USE ONLY

UNCLASSIFIED//FOR OFFICIAL USE ONLY

13. Current Status of Contract (choose one) [ ] Work Continuing, On Schedule [ ] Work Continuing, Behind Schedule [ ] Work Completed, No further Action Pending or Underway [ ] Work Completed, Routine Administrative Action Pending or Underway [ ] Work Completed, Litigation Pending or Underway [ ] Terminated for Convenience [ ] Terminated for Default [ ] Other (explain):

Attach additional sheet if necessary (one additional sheet maximum)

Instructions for Completing the Reference Information Worksheet

Item 1.Insert the complete name and address of the customer, including parent organization, if any. Do not use acronyms.
Item 2.Insert the customer’s complete address, including both post office box and street address, if applicable.
Item 3.Insert any contract number or other contract reference used by the customer and contract type. Item 4.Insert the date on which the contract came into existence.
Item 5.Insert the date on which you started to perform the work.
Item 6.Insert the date on which the customer agreed that the work was satisfactorily completed (including substantial completion), aside from any pending or on-going administrative actions, claims negotiations, or litigation.
Item 7.Insert the contract type and contract value (separately listing fee if cost-type).
Item 8.Insert the final sum of all invoices, or the sum of all invoices to date, including agreed upon and disputed amounts, paid and awaiting payment.

Item 9a. Insert the name, title, company/agency, address, telephone number, facsimile number, and e-mail address (if available) of the program or project manager, quality assurance representative, or other customer technical representative who is most familiar with the quality of your work under the contract.

Item 9b. Insert the name, title, company/agency, address, telephone number, facsimile number, and e-mail address (if available) of the contracting officer, purchasing agent, or other customer contracting or purchasing representative who is most familiar with your work under the contract.

Item 9c. Insert the name, title, company/agency, address, telephone number, facsimile number, and e-mail address (if available) of (a) lead environmental regulator(s) or a State regulatory office director under whose authority environmental regulations would be enforced.

Item 10. Insert names and phone numbers of consultants and partners/subcontractors used. Item 11. Insert the title of the project and/or contract.

Item 12. Describe the nature and scope of the work. Describe the relevance of the work to the current acquisition and discuss performance. The objective is to show how the work that you did or are doing is similar in nature and scope to the work that is to be performed under the contract contemplated by the request for proposals. Describe any unusual circumstances of performance or problems that may be relevant to the work that is to be performed. Tell your side of the story of any conflicts with the customer concerning which they may make adverse remarks about your performance. Describe any actions that you have taken or plan to take to correct any shortcomings in your performance.

Item 13 Check the box which most accurately describes the current contract status.

File details come from the government source that posted it. Updated .