Attachment C Past Performance Information Sheet.docx
DOCX document 25 KB Posted
- Attached to
- RFP - Medical Evaluations and Services Federal contract opportunity
- Solicitation number
- 15F06725R0000538
About this file
The document is a Past Performance Information Sheet (PPIS) template designed for contractors to provide detailed past performance references for a federal contract opportunity. The template requires contractors to submit information about two contract references, including company details, contract specifics (such as contract number, type, value, and period of performance), a brief description of the effort, place of performance, major accomplishments, and any issues encountered.
The template also requires contractors to provide two points of contact who are most knowledgeable about the submitted contract, with positions potentially including Program Manager, Procuring Contracting Officer, Contracting Officer's Representative, or equivalent commercial roles. This PPIS is specifically related to a Federal Bureau of Investigation (FBI) solicitation (Solicitation Number: 15F06725R0000538) for a nationwide medical evaluation and services contract, which aims to acquire professional occupational health services through a patient physician network to support medical examinations for prospective and current FBI employees.
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Text version
Past Performance Information Sheet (PPIS) Instructions
1. Provide the information requested in this form for each contract reference.
2. Provide concise comments regarding your performance on the contracts you identify.
3. Limit the number of references to (2).
4. Save as a PDF.
A. Company Information Quoter / Company Name:
Address:
Phone Number:
Email:
CAGE Code:
DUNS Number:
B. Contract Specifics Contract Title:
Contract Number:
Task Order Number (if applicable):
Date of Award:
Contracting Agency or Customer:
Contract Type (FFP, T&M, CPFF, etc.):
Single Contract or IDIQ/BPA:
Period of Performance:
Contract Value:
C. Brief Description of Effort: Briefly describe the scope of effort of the contract and highlight portions considered most relevant to this procurement.
Performed as ☐ Prime or ☐ Subcontractor.
If you performed as a Subcontractor, provide Prime Contractor’s information. If you were the Prime Contractor, enter “N/A” into the response fields for this section.
Prime Contractor’s Name:
Address:
Phone Number:
Email:
D. Place of Performance (check all that apply) ☐ - Single Location ☐ - Multiple Locations Indicate the location(s) where performance took place.
E. Major Accomplishments: Describe any major accomplishments or recognition received for superior performance.
F. Issues Encountered: Describe any adverse performance issues encountered during the performance period and the remedial actions taken to correct the issues.
G. Additional Comments
H. Points of Contact: Provide two (2) points of contact who are most knowledgeable of the submitted contract. Points of contact may include Program Manager (PM), Project / Task Manager, Procuring Contracting Officer (PCO), Administering Contracting Officer (ACO), and Contracting Officer’s Representative (COR), or the commercial equivalents of these positions.
Name:
Position (PM, PCO, COR, etc.):
Address:
Telephone:
Email:
Name:
Position (PM, PCO, COR, etc.):
Address:
Telephone:
Email:
File details come from the government source that posted it. Updated .