AISS_III_-_RFP_-_Addendum_to_FAR_52.212-1,_Attachment_1_-_PPIS.docx
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FA4452-17-R-0003
Addendum to FAR 52.212-1, Attachment 1
PAST PERFORMANCE INFORMATION SHEET (PPIS)
Provide the information requested in this form for each contract/program (citation) 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 citations submitted and the length of each submission to the limitations set forth in the RFP. Also address if/how each contract meets the criteria listed in Relevancy Assessment in the Basis of Award.
| A. | 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 "Organizational Structure Change History" you provided as part of your Past Performance Volume).
| B. | Program Title: |
| C. | Contract Specifics: |
| 1. Contracting Agency or Customer _____________________________________________ | |
| 2. Contract Number__________________________________________________________ | |
| 3. Contract Type __________________________ | |
| 4. Period of Performance __________________________ | |
| 5. Original Contract $ Value _________________ | |
| 6. Current Contract $ Value _________________ (Do not include unexercised options) | |
| 7. If amounts for 5 and 6 above are different, provide a brief description of the reason | |
| D. | Brief Description of Effort as ___Prime or ___Subcontractor |
(Please indicate whether it was development and/or production, or other acquisition phase (or Service) and highlight portions considered most relevant to current acquisition and highlight what is considered most relevant to current acquisitions.
E. Completion Date:
| 1. Original date: ____________________ |
| 2. Current Schedule: ____________________ |
| 3. Estimate at Completion: ____________________ |
| 4. How Many Times Changed: ____________________ |
| 5. Primary Causes of Change: _______________________________________________________ |
F. 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).
1. Program Manager and/or Site Manager:
| Name | ____________________ | |
| Office | ____________________ | |
| Address ________________________________________ | ||
| Telephone __________________ |
2. Procuring Contracting Officer:
| Name | ____________________ | |
| Office | ____________________ | |
| Address ________________________________________ | ||
| Telephone __________________ |
3. Administrative Contracting Officer:
Name ____________________ Office ____________________ Address ________________________________________ Telephone __________________
G. Considering the relevancy definitions listed in Addendum to FAR 52.212-2, Evaluation – Commercial Items, illustrate how your work on this reference contract/program is relevant in regards to the AISS III acquisition.
H. For each of the applicable sub-factors under the Technical factor in Addendum to FAR 52.212-2, Evaluation – Commercial Items, illustrate how your experience on this program applies to that sub-factor.
I. Specify, by name, any key individual(s) who participated in this program and are proposed to support the AISS III acquisition. Also, indicate their contractual roles for both acquisitions.
| J. | Identify whether a subcontracting plan was required by the contract you are submitting. If one was required, identify, in percentage terms, the planned versus achieved goals during contract performance. If goals were not met, please explain. |
| K. | Describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. Also, estimate the percentage of the total proposed effort to be performed by this entity and whether this entity will be performing as the prime, subcontractor, or a corporate division related to the prime (define relationship). |
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