DRAFTAttachment 4 Past Performance Information (PPI) Template.pdf

FA568225R0003

For Official Use Only

Attachment 4

PAST PERFORMANCE INFORMATION (PPI) TEMPLATE

Provide the information requested in this form for each contract/program 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 past efforts submitted to the limitations set forth in Section L, Instructions to Offerors, paragraph L.7.1.2. of this solicitation.

1. OFFEROR NAME (Company/Division):

CAGE Code:

UNIQUE IDENTITY ID (UEI):

(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, please note those changes accordingly. Reference Section L.7.1.c)

2. PROGRAM TITLE:

3. CONTRACT SPECIFICS:

a. Contracting Agency/Customer

b. Contract Number or contract number and Task Order (TO) Number if applicable

c. Contract Type: Firm Fixed Price Cost

d. Total contract Dollar/EURO value and/or total TO Dollar/EURO value if applicable

e. Location of project

f. Date of Award:

g. Period of Performance Completion date

h. Description of the role of the offeror: Prime contractor Joint Venture

4. BRIEF DESCRIPTION OF EFFORTS AS CONTRACTOR:DRAFT

PURISIOL, CRISTINA IT USAF USAFE 31 CONS/PKB

Please highlight portions considered most relevant to the current acquisition. Discuss efforts/management actions accomplished to successfully overcome and resolve any problems encountered.

FA568225RXXXX

For Official Use Only

5. COMPLETION DATES:

1. Original Date:

2. Current Schedule:

3. Estimate at Completion:

4. How Many Times Changed:

5. Primary Causes of Change:

6. NARRATIVES:

1. Specify, by name, any key individual(s) who participated in this contract and are proposed to support the instant acquisition. Also, indicate their contractual roles for both acquisitions (MACC and Seed Project).

2. Describe the nature of the work on this past performance effort, providing detailed information on the design (if any) and construction work performed.

3. Identify and explain which aspects of this effort are relevant to the instant acquisition and how they relate to the MACC requirement described in this solicitation. Please see Section L.7.1.b.

7. PRIMARY CUSTOMER POINTS OF CONTACT (POCs):

1. Name:

Office:

Telephone:

E-mail:

2. Name:

Office:

Telephone:

E-mail:

DRAFT

Provide information in sufficient detail to demonstrate the effort involved multiple trades as per Statement of Work Par.2. Provide examples as described in Section M.2.3.1.1.

Cross reference to any additional supporting documentation included in the package.

Identified POCs should be individuals most knowledgeable about your performance, i.e., contracting officers, technical representatives, program manager, or the commercial equivalent of these individuals. Please identify a minimum of 2 POCs for each contract. Questionnaires shall be sent to these same individual(s) IAW Section L, Instructions to Offerors, Paragraph L.7.2.5., Past Performance Questionnaire, of this solicitation