Attachment 6 - PPI Submission Form.docx
DOCX document 25 KB Posted
- Solicitation number
- FA8051-25-Q-0001
About this file
This is a Past Performance Information (PPI) submission form template (Attachment 6) for solicitation FA8051-25-Q-0001. The form requires offerors to provide detailed contract performance information including company name, UEI code, program title, contract specifics (agency, contract number, type, period of performance, original and current values), and description of work performed as either prime or subcontractor.
The form requires contact information for customer points of contact including the contract administrator and contracting officer. Offerors must address unique technical aspects of prior contracts and demonstrate how their experience applies to the technical subfactors listed in the solicitation. This is a standard template form that does not contain specific requirements for products or services, but rather serves as a mechanism for offerors to document their relevant past performance experience for the Fire & Emergency Services and PPE Care & Maintenance Services opportunity.
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ATTACHMENT 6
FA8051-25-Q-0001
PAST PERFORMANCE INFORMATION (PPI)
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 combined synopsis/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).
1. Contract Administrator:
| Name | ____________________ | |
| ____________________ | ||
| Telephone__________________ |
2. Procuring/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.
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