Attachment 5 - Past Performance Information Sheet 17 July 2020.docx

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Attached to
Modernize Electrical and HVAC Redundancy
Solicitation number
FA4855-20-R-0012
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About this file

This document contains a past performance information sheet template for offerors to complete as part of a solicitation for a project to modernize electrical and HVAC redundancy at an Air Force facility. The project calls for establishing a redundant electrical power system, replacing two 200-ton water-cooled chillers with air-cooled chillers, and installing dedicated HVAC for ground control station bays. The period of performance is 570 calendar days with a project magnitude between $5 million and $10 million. This acquisition will utilize lowest price technically acceptable source selection procedures and has been set aside for total small businesses in accordance with FAR 19.502-2. Offerors must complete the past performance template providing details of up to five relevant contracts demonstrating experience with electrical and HVAC projects of similar size and complexity for government customers.

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RFP FA4855-20-R-0012

ATTACHMENT 5

Past Performance Information Sheet

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY

Present/Past Performance Information (PPI) Sheet (TO BE COMPLETED BY OFFEROR, JOINT VENTURE MEMBER, AND IF APPLICABLE, CRITICAL SUBCONTRACTOR)

Request the offeror/joint venture member/critical subcontractor, if applicable, complete a separate PPI Sheet for each relevant contract. See Section L of this RFP for detailed instructions on the limitation of number of contracts and recency of contracts. Offeror/joint venture member/critical subcontractor is requested to provide frank, concise comments regarding present/past performance on the program identified in B. below.

If the contract being submitted is an ordering type contractual vehicle (for example, including but not limited to an Indefinite Delivery “D” type contract per FAR 16.5), only after issuance of a delivery/task order does performance occur. The Contract Number, Total Contract Dollar Value, Period of Performance, Quantities Produced/Repaired, Type and Complexity of Data Deliverable submitted here should be for the order or series of orders, the offeror has performed under this ordering type contractual vehicle.

If a series of orders is being submitted, the offeror shall include a list that includes the order numbers, each order’s Total Contract Dollar Value, each order’s Period of Performance, each order’s Quantity Produced/repaired, and the Type and Complexity of Data Deliverables on each order. If the series of orders contains more than 5 orders, include this information on a separate attachment. See Section L-900 Paragraph II.D for more information on proposal submission and Section M-900 Paragraph II.D.4 for evaluation information.

A. OFFEROR:

(1) Name (Company/Division)

(2) Address

(3) CAGE Code

B. PROGRAM/PROJECT TITLE and CONTRACT NUMBER:

(If submitting ordering type contract: List the basic contract number and each order number or order number within the series of orders)

C. Role of the Offeror In Effort: __________ Prime Contractor __________ Subcontractor

Note: that the information provided in the PPI Sheet shall reflect the role that the offeror/joint venture member/critical subcontractor performed in the effort, i.e., an offeror who performed as a subcontractor shall identify the contract type, dollar value, description, etc. of its subcontract with the prime contractor.

D. NAME OF CONTRACTING ACTIVITY OR CUSTOMER:

E. CONTRACT TYPE(S) – CHECK ALL THAT APPLY

i. Firm Fixed Price _____

ii. Time and Materials_____
iii. Cost_____

iv. Other (Explain) _____

F. TOTAL CONTRACT DOLLAR VALUE: (If you performed work as a subcontractor, identify your total contract dollar value and the PRIME’s total contract dollar value, if known. Describe any changes in dollar value that may have occurred from time of contract award to the conclusion of the effort or the present, whichever is applicable.) If submitting an ordering type contract, list the original and current total contract dollar values for each order or order within the series of orders. If your series of orders consists of more than five (5) individual orders include the information in a separate attachment.

i. Original Total Contract Dollar Value:

(If submitting ordering type contract: List the original total contract dollar value for each order or order within the series of orders)

ii. Current Total Contact Dollar Value:

(If submitting ordering type contract: List the current total contract dollar value for each order or order within the series of orders)

iii. Explain the differences in Total Contract Value, if applicable: Enter an explanation of the difference between the Original Total Contract Dollar Value and the Current Total Contract Dollar Value as of the time of proposal submission.

iv. If Award Fee Contract, what percentages of the fee have been awarded in each of last 3 years?

G. PERIOD OF PERFORMANCE: (includes start and end dates, i.e. Jan 2004 – Dec 2007) If submitting an ordering type contract, the “Period of Performance” submitted here should be for the order (or series of orders), the offeror has performed under this ordering type contractual vehicle. The offeror shall submit the “Start Date” for the individual order or the first order in the series. The offeror shall submit the “Original End Date” for the individual order or the last order in the series. If the “End Date” on the individual order or last order within the series of orders has changed, these changes would need to be reflected in the “Current End Date” Section below. Also, if submitting a series of orders, list the Start Date, Original End Date and Current End Date for each order. If your series of orders consists of more than 5 individual orders include the information in a separate attachment.

i. Start Date: Input start date of contract/order/series of orders.

ii. Original End Date: Input original end date of contract/order/series of orders based on award.

iii. Current End Date (if changed): Input end date, as the contract/order/series of orders stands at time of proposal submission.

J. BRIEF DESCRIPTION OF EFFORT:

i. As a part of this narrative description, highlight portions considered most relevant to the current acquisition; addressing how and to what extent the proposed effort relates to the program identified in B. above. To supplement the data provided in response to this paragraph, complete the following regarding relevancy of the effort identified in paragraph B to the proposed effort.

ii. This paragraph shall also include details to support the offeror’s record for on-time delivery, technical quantity and cost control for this effort identified in paragraph B. above.

iii. Indicate your compliance with FAR 52.219-8, Utilization of Small Business Concerns, by completing the following. That is, when subcontracting possibilities existed on this effort, did you award subcontracts to small business concerns, veteran-owned small business concerns, service-disabled veteran-owned small business concerns, HUBZone small business concerns, small disadvantaged business concerns, and women-owned small business concerns to the fullest extent consistent with efficient contract performance? If FAR 52.219-8 was NOT included in this effort, whenever subcontracting possibilities existed in the performance of this effort, address whether or not it was your policy to utilize small business concerns, veteran-owned small business concerns, service-disabled veteran-owned small business concerns, HUBZone small business concerns, small disadvantaged business concerns, and women-owned small business concerns to the fullest extent consistent with efficient contract performance.

Utilization of Small Business Concerns
Small Business
Large Business

No subcontracting possibilities

In compliance

Not in compliance (address why)

K. PRIMARY POINTS OF CONTACT: (The offeror/joint venture member/critical subcontractor is responsible for exerting its best efforts to ensure that current information is provided for all individuals.)

Name and Office Symbol
Phone Number
FAX Number
1. Contracting Officer Representative
DSN & Comm
DSN & Comm
2. Contracting Officer
DSN & Comm
DSN & Comm
3. Program/Project Manager, or equivalent
DSN & Comm
DSN & Comm

L. If the offeror, joint venture member or critical subcontractor (if applicable) is a newly formed entity who either has no prior contracts or does not possess relevant corporate past performance, but does have key personnel with relevant past performance while employed by another company, specify by name, such key individual(s) who will participate in the proposed effort under this acquisition who also participated in the program identified in B. above, and indicate their contract role. Describe how participation of these key personnel contributed to the success of the previous effort and how this indicates probability of success on the proposed effort.

M. Use this space to address any aspect about this program considered unique. Describe quality awards or certifications that indicate the offeror possesses a high-quality process for developing and producing the product/service required.

N. Summarize contract issues relative to the number and severity of quality deficiencies recorded/contract discrepancy reports issued, cure notices, show cause letters, termination for default or cause, disputes, claims, latent defects; and, corrective actions taken for the contract listed in Paragraph B above.

O. Additionally, for those efforts where you are cognizant of unfavorable and/or marginal past performance ratings/reports previously assessed by customers or clients, but feel that significant progress has been made but not yet credited or formally documented, provide the program name, contract number, customer location and a narrative explaining "fixes" made to date, or any other information regarding the unfavorable/marginal assessment. It is not presumed that performance has been perfect. Rather, the proposal should contain evidence of the offeror's/joint venture member’s/critical subcontractor’s ability to isolate the root causes of problems and should describe programs or actions taken to resolve those causes. Demonstrated corrective actions (not just planned or promised), and the overall work record will be considered. Problems not addressed, but found by the Government during the evaluation of the information in this volume, will be assumed to still exist. Note: In the case of Contractor Performance Assessment Report System (CPARS), if your input has already been provided and the rationale/ circumstances have not changed, DO NOT repeat them here.

PLEASE NOTE: The Government is not bound by the offeror's opinion of relevancy. The Government will perform an independent assessment of relevancy of the data provided or obtained.

SOURCE SELECTION INFORMATION - See FAR 2.101 and 3.104

FOR OFFICIAL USE ONLY

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