Attachment 4 - Past Performance Information Sheet (Amendment 03_9182026).docx

Attachment 4 – Past Performance Information Sheet (PPI) *Amendment 03_Updated 09/18/2026*

INSTRUCTIONS TO OFFERORS:

Three individual (3) References are required. Complete one individual PPI Sheet for each reference submitted.

The references must be recent and relevant as defined in the RFQ.

· Recent is defined as work performed within the past five (5) years from the issuance date of this RFQ.

· Relevant is defined as comprehensive digitization, preservation, and media conversion solution for its physical and legacy digital historical archives as described in the Statement of Work.

If a reference is for a project performed by a subcontractor or teaming partner, clearly identify the company that performed the work and describe their specific role in the project.

Project Reference ______ of 3

1. GENERAL INFORMATION

Project Title:

Contract/Order Number:

2. CUSTOMER / AGENCY INFORMATION

Customer/Agency Name:

Point of Contact (POC) Name:

POC Title:

POC Phone Number:

POC Email Address:

Is this POC willing to be contacted for a performance interview/survey? (Circle One): YES / NO

3. CONTRACT DETAILS

4. DESCRIPTION OF WORK PERFORMED

Provide a detailed narrative of the work performed. Describe precisely how this project is relevant to the requirements in this RFQ's Statement of Work (SOW): perform secure, high fidelity conversion of paper records, microfilm, microfiche, large-format schematics, bound books, and legacy audiovisual media into standard, searchable digital files and the work associated with this project that adhere to all applicable standards, regulations, and guidelines.

5. EVIDENCE OF PERFORMANCE QUALITY

Indicate the type of performance assessment available for this project. If available, please attach any letters of recommendation.

· CPARS: Is a CPARS record available for this contract/order? (Circle One): YES / NO If YES, provide the CPARS rating(s) for key evaluation areas (e.g., Quality, Schedule, Cost Control, Management):

· Letter of Recommendation: Is a letter of recommendation attached? (Circle One): YES / NO

· Other: Please describe any other form of performance assessment provided (e.g., customer survey).

By submitting this information, the offeror grants the U.S. Government permission to contact the listed customer points of contact to verify the information provided and to inquire about the offeror's performance on the cited contracts.