Attachment_10_PPI.docx
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- Attached to
- Fuels and Supply Services Federal contract opportunity
- Solicitation number
- FA286018R0006
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Past Performance Information Sheet
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ATTACHMENT 10
PAST PERFORMANCE INFORMATION (PPI)
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 and the length of each submission to the limitations set forth in FAR 52.212-1 Addendum. All PPI must by TYPED in the form below. Type size for text shall not be smaller than Microsoft Word Times New Roman, 10 point.
| Contractor |
| Instructions: If the company or division referenced is different than the offeror, note those changes. |
| DUNS Number |
| Instructions: Self-explanatory. |
| CAGE Code |
| Instructions: Self-explanatory. |
| Delivery/Task Order |
| Instructions: Enter the Task/Call/Delivery/Purchase Order Number if the order is provided as a stand-alone reference. |
| Contract Number |
| Instructions: Self-explanatory |
| Contract Type |
| Instructions: Enter Firm-Fixed Price (FFP), Cost-Plus-Fixed Fee (CPFF), Indefinite-Delivery, Indefinite Quantity (IDIQ), Labor-Hour (LH), etc. **If IDIQ or Blanket Purchase Agreement (BPA), offerors shall provide a separate list (outside of the tool) showing each of the task/delivery order(s) performed under the ID/IQ contract or BPA, in addition to the period of performance, dollar value, place(s) of performance and a brief description (not to exceed 500 characters) for each underlying task/delivery order. The limitations in L-5.3.1 apply to this list.** |
| Program Title |
| Instructions: Self-explanatory |
| Short Program Title (i.e., acronym) |
| Instructions: Enter abbreviated title for program. |
| Contracting Agency/Customer |
| Instructions: Enter the servicing contracting agency and customer (office symbols suffice). |
Contract Dollar Value
| Original |
| Instructions: Input total contract dollar value, with all options, in the amount originally awarded on the referenced contract; if ID/IQ or BPA, provide total ceiling; if stand-alone task/call/delivery/purchase, provide amount of the individual contract. |
| Current |
| Instructions: Input total contract dollar value, with all options, as the contract stands at time of PPI submission; if ID/IQ or BPA, provide total ceiling; if stand-alone task/call/delivery/purchase, provide amount of the individual contract. |
Explain the difference in contract values, if applicable
Instructions: Self-explanatory
Period of Performance (mm/dd/yy)
| Start Date |
| Instructions: |
Self-explanatory
| Original End Date |
| Instructions: Input original end date based on award. |
| Current End Date |
| Instructions: Input end date, as the contract stands at time of PPI submission. |
Explain the difference in Period of Performance, if applicable
Instructions: Self-explanatory
| Brief Description of Effort as |
| Instructions: Select Prime, Sub, Joint Venture or Other; if Other, provide explanation in text box below. |
Instructions: Offerors shall:
1. Provide explanation if selected ‘Other’ above.
1. Provide a brief description of the service provided and actual work performed under this contract reference.
1. If submitting a reference for a subcontractor, teaming partner, or joint venture, describe the nature and portion (percentage) of the work to be performed.
1. Indicate place(s) of performance:
3. State if performance was in multiple locations. If so, specify locations.
3. State if performance was CONUS, OCONUS or both, and provide details.
3. State if performance serviced state or federal government, and provide details.
3. State if performance serviced the Department of Defense, and provide details.
*Explain how your experience on this program is relevant for each Technical Appraoch factor/section under the FAR 52.212-2 Addendum, including any unique aspects that demonstrate relevancy in this effort.
Instructions: Provide evidence to support how the contract reference has relevant experience and demonstrates the ability to perform SOW requirements, and explain how the referenced contract is relevant IAW the relevancy definitions at FAR 52.212-2 Addendum.
Customer Points of Contact
Instructions: For Government contracts, provide current information on Program Manager, Contracting Officer, and for Admin POC, provide information on Contracting Officer Representative (COR). For commercial contracts, provide points of contact fulfilling these same roles.
| Program/Site Manager |
| Contracting Officer |
| Admin POC |
Instructions: Provide a minimum of the following for each reference: 1) Name, 2) office & office symbol, 3) telephone number, 4) address, and 5) e-mail address.
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