Attachment 4_Past Performance Information (PPI) Sheet_23R0029_17 July 2023.docx
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- Solicitation number
- W81K0023R0029
- Issued by
-
Department of the Army Medical Command
About this file
This document provides a template for a Past Performance Information Sheet to be submitted in response to Solicitation W81K0023R0029 from the Department of the Army Medical Command. The sheet requests information on up to three relevant past performance references, including the company name, CAGE code, SAM UEI, role as subcontractor or prime contractor, contract or task order number and period of performance, description of effort including labor categories, location of services, and number of FTEs, contract award amount including base year and option years, and status of project including performance reporting and any terminations or modifications. The solicitation seeks personal services for a total of 73 FTEs in the categories of Surgical Technologists, Cardiothoracic Surgical Technologists, and Central Sterile Supply Technicians.
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Text version
W81K0023R0029
ATTACHMENT # 4
Past Performance Information Sheet (PPI)
Provide the following information for each past performance reference submitted in response to Solicitation W81K0023R0029. Use one PPI sheet per project. Limit three pages per project.
Company Name, CAGE, and SAM Unique Entity ID:
Company Name:
CAGE:
UEI:
Sub or Prime (if Sub, % of work):
Contract Number or Task Order number and contract period of performance:
Do not provide IDIQ basic contract numbers. Projects provided under an IDIQ shall reference the Task Order number from which the work was completed.
Contract/Task Order Number:
Period of Performance:
Current point of contact (POC):
Provide current email address and phone numbers. Provide two POCs if possible, one from the contracting office and one from the end user/customer.
1.
2.
Description of effort:
Provide the labor categories, location of services and the number of FTEs performed for this effort.
Location:
Labor Category:
Number of FTE:
Description of Work:
Contract or Task Order Award Amount (Base and Options):
List the amount of the base year and each option year on the contract.
Base year:
Option 1:
Option 2:
Option 3:
Option 4:
TOTAL:
Status of the project:
Identify status of performance reporting and how many years have successfully been completed. Identify any terminations or modifications for scope change.
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