Atch_7_PPIS_SERE_FA3002-14-R-0012_(Rev._13_Nov_14).pdf

FA3002-14-R-0012

Attachment 7

PAST PERFORMANCE INFORMATION SHEET

A. Provide the information requested in this form for each contract/program being described. Provide concise comments regarding your performance on the contracts you identify.

B. Provide a separate completed form for each contract/program submitted.

C. Limit the number of past efforts submitted and the length of each submission to the limitations set forth in

Section L.4.2.3 of this solicitation.

1. Offeror Name (Company/Division):_________________________________________________

CAGE Code: _________________________________________________________________

DUNS Number: _________________________________________________________________

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 Past Performance Volume III, "Organizational Structure Change History" you provided as part of your submission.

2. Contract Specifics

A. Program Title: ________________________________________________________________________

B. Contractor (Company/Division): __________________________________________________________

C. Contractor Cage Code: _________________________________________________________________

D. Contract number: _____________________________________________________________________

E. Contract type (e.g., FFP, FPIF, CPFF): ____________________________________________________

F. Was this a competitively awarded contract? Yes __________ No _________

G. Was this contract set aside for small business? Yes __________ No _________

If Yes, how was it set aside? __________________________________________________________

H. Period of performance: ________________________________________________________________

I. Initial Contract Cost (do not include unexercised options):______________________________________

J. Current or Final contract cost (do not include unexercised options):_______________________________

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K. Reasons for differences between initial contract cost and final contract costs:

L. Brief Description of Effort as ________Prime or ________Subcontractor

(Please indicate whether it was for development and/or production, or other acquisition phase and highlight portions considered most relevant to current acquisition)

3. Completion Date:

Original Award date: ____________________________________________________

Current Schedule: ____________________________________________________

Estimate at Completion: ____________________________________________________

4. 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).

Program (Site) Manager Name _______________________________________

Office _______________________________________

Address _______________________________________

Telephone _______________________________________

Email _______________________________________

Contracting Officer (CO): Name _______________________________________

Office _______________________________________

Address _______________________________________

Administrative CO: Name _______________________________________

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Office _______________________________________

Address _______________________________________

5. Submit information on contracts that you consider relevant IAW RFP Section L.4.2.3. in demonstrating your ability to perform the proposed effort. Include rationale supporting your assertion of relevance and clearly demonstrate what aspects of this contract/program relate to the scope, magnitude and complexity of the proposed effort. If only a portion of the contract/program is relevant, make it very clear what portion you consider relevant in relation to the proposed effort. Relevancy is defined in RFP Section

M.5.1.2. In addition to the assertion of relevance, include any other information demonstrating customer satisfaction, quality of service, or performance metrics etc. related to the contract/program submitted.