Attachment_5-_Past_Performance_Information_Sheet_14_Aug_15.pdf

FA3002-15-R-0026

Attachment 5

PAST PERFORMANCE INFORMATION SHEET (PPIS)

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.

SECTION I - General

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 present/past efforts submitted to the limitations set forth in attachment 2 of this solicitation.

D. Submit information on contracts that you consider relevant IAW RFP attachment 2 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 attachment 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.

SECTION II - 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):_______________________________

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

L. Brief Description of Effort as ________Prime or ________Subcontractor

M. Describe the nature or portion of the work on the proposed effort to be performed by the offeror.

Estimate the percentage of the total proposed effort to be performed by the offeror and whether the offeror will be performing as the prime or subcontractor.

SECTION III – Points of Contact (POC)

Primary Customer POCs: (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 _______________________________________

Address _______________________________________

Administrative CO: Name _______________________________________

Address _______________________________________