Attachment_4_-_PPIS.docx
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- Attached to
- Communication, Operation, and Maintenance Functions (COM-F II) Federal contract opportunity
- Solicitation number
- FA45-14-R-0001
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Attachment 4 - COM-F II PPIS
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FA4452-14-R-0001
Attachment 4
PAST PERFORMANCE INFORMATION SHEET
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. Any past performance information submitted over the maximum of 6 total contracts (including prime and subcontractors) will be disregarded in its entirety. If submitting an Indefinite Delivery Indefinite Quantity (IDIQ) contract for consideration, the task order for which evaluation is requested shall be specified. Each task order submitted will count toward the 6 contract maximum limitation. Limit the total number of citations submitted and the length of each submission to the limitations set forth at paragraphs 1.2 and 4.3 of Addendum to FAR 52.212-1, respectively, of this solicitation.
| 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 _________________ (Do not include unexercised options) |
| 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) 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__________________ | ||
| FAX Number_______________ |
2. Contracting Officer:
| Name | ____________________ | |
| Office | ____________________ | |
| Address________________________________________ | ||
| Telephone__________________ | ||
| FAX Number_______________ |
3. Administrative Contracting Officer:
Name ____________________ Office ____________________ Address________________________________________
| Telephone__________________ |
| FAX Number_______________ |
G. Address any technical (or other) area about this referenced contract/program considered unique.
H. Considering the relevancy definitions listed in Addendum to FAR 52.212-2 “Evaluation—Commercial Items”, paragraph 2.3, section b(2), illustrate how your work on this referenced contract/program is relevant in regards to the COM-F II acquisition.
I. Specify, by name, any key individual(s) who participated in this referenced contract/program and are proposed to support the COM-F II acquisition. Also, indicate their contractual roles for both acquisitions.
J. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on this referenced contract/program.
K. Describe the nature or portion of the work on this referenced contract/program which was performed by the business entity being reported here. Also, estimate the percentage of the COM-F II acquisition 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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