Attachment 6- PPI Submission Form.docx
DOCX document 24 KB Posted
- Attached to
- Fire and Emergency Services (F&ES) Personal Protective Equipment (PPE) Firefighter Helmets IDIQ
- Solicitation number
- FA805122Q0001
View the file
Other files
| File | Type | Posted |
|---|---|---|
| FES PPE Firefighter Helmets QA 27 Jun 2022.docx | DOCX document | |
| Attachment 5- CLIN Price Sheet Rev 1.xlsx | XLSX spreadsheet | |
| Attachment 3- List of USAF Fire Stations.xlsx | XLSX spreadsheet | |
| Attachment 2- Statement of Work.docx | DOCX document | |
| Attachment 5- CLIN Price Sheet.xlsx | XLSX spreadsheet | |
| Attachment 4- Technical Evaluation Matrix.xlsx | XLSX spreadsheet | |
| CDRL A001- Quarterly Status Report.pdf | ||
| Attachment 7- Reps and Certs.docx | DOCX document | |
| Attachment 1- Clauses and Provisions.docx | DOCX document | |
| FA805122Q0001 Fire Helmets Combo.docx | DOCX document |
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Text version
ATTACHMENT #6
FA8051-22-Q-0001
PAST PERFORMANCE INFORMATION
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 at paragraphs (b) and (b)(10), respectively, in the solicitation.
| A. | Offeror Name (Company/Division): | ____________________ |
| UEI Code: ____________________ |
(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, note those changes. Refer to the "Organizational Structure Change History" you provided as part of your Past Performance Volume).
| B. | Program Title: ____________________ |
| C. | Contract Specifics: |
| 1. Contracting Agency or Customer _____________________________________________ | |
| 2. Contract Number__________________________________________________________ | |
| 3. Contract Type __________________________ | |
| 4. Period of Performance __________________________ | |
| 5. 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 |
(Please indicate whether it was development and/or production, or other acquisition phase (or Service) and highlight portions considered most relevant to current acquisition)
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: (For Government contracts provide current information on all three individuals. For commercial contracts, provide points of contact fulfilling these same roles).
2. Contract Administrator:
| Name | ____________________ | |
| ____________________ | ||
| Telephone__________________ |
3. Administrative Contracting Officer:
| Name | ____________________ | |
| ____________________ | ||
| Telephone__________________ |
G. Address any technical (or other) area about this contract/program considered unique.
H. For each of the applicable sub-factors under the Technical factor listed in the Combined Synopsis/Solicitation, illustrate how your experience on this program applies to that sub-factor I. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns and 52.219-9 Small Business Subcontracting Plan, on the contract you are submitting.
File details come from the government source that posted it. Updated .