J12._Past_Performance_Information_(PPI)_Document.doc

FA4600-15-R-0013

Attachment 12

Past Performance Information (PPI) Document Complete this form for each contract/program submitted for evaluation.

Provide frank, concise comments regarding your performance on the contracts you identify.

1. Contract Title: __________________________________________________

2. Contract Number: _______________________________________________

3. Contractor Name: _______________________________________________

Address:__________________________________________________ Phone:__________________________________________________ Email:__________________________________________________

4. Contractor’s DUNS Number______________and CAGE Code____________

5. Contract type: Please check one box from each column.

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Firm-Fixed Price

Independent Contract

Cost Plus Fixed Fee

IDIQ Contract ________________ Task Orders #_____

Cost Plus Award Fee

List all other TO#s performed under the IDIQ Contract

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Time and Materials

6. Excluding unexercised options:

Original Contract Value: $_____________

Current Value: $_____________

If the values are different, explain why:

7. Original Period of Performance:

Start:

End:

If the performance period has changed, explain why:

8. Place of performance (check all that apply):

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SINGLE LOCATION

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MULTIPLE LOCATIONS

CONUS – Specify City/State: _________________________________________

OCONUS – Specify Country: _________________________________________

9. Describe the nature or portion of work performed by this company.

9a. Was this work performed as prime, subcontractor, corporate division related to the prime, or team/joint venture partner? ____________________________________________________________________________________

9b. What was the percentage of work performed by this company?______________________________________ 9c. If you performed as a Subcontractor, Team Partner, or Joint Venture Partner; provide Prime Contractor’s information:

Contractor Name: ______________________________________________

Address:_______________________________________________ Phone:_______________________________________________ E-mail:_______________________________________________

10. Contracting Agency or Customer: _______________________________________

11. Reference contact information: Provide two (2) points of contact most knowledgeable of the submitted contract. For Government contracts, points of contacts may include Program Manager, Project/Task Manager, Contracting Officer, and Administrative Contracting Office. For commercial contracts, provide two (2) points of contact fulfilling these same roles.

NAME

POSITION

ORGANIZATION

PHONE

E-MAIL

12. Identify the scope summary of the contract or task order submitted as it relates to the C2F FFO scope. _____________________________________________________________________________________________

13. Provide a brief description of services provided under this contract. Include details that will indicate specific efforts of relevant personnel (i.e., Program Manager, Task Order Manager, etc.). Identify problems encountered and efforts taken to resolve problems, as well as efforts to identify and manage program risks. Clearly demonstrate management actions employed in overcoming problems and the effects of those actions in terms of improvements achieved or problems solved. This may include a discussion of efforts accomplished by the Offeror, or applicable Teaming Partner, to resolve problems encountered on prior contracts as well as past efforts to identify and manage program risk. For example, submit quality performance indicators or other management indicators that clearly support that an Offeror, or applicable Teaming Partner, has overcome past problems. Comments on this page shall be 10 font or greater. Insert additional page(s), if necessary.

14. Describe in detail how your experience on this program applies to the Relevancy Criteria identified in Section M. Clearly link the past performance information to the C2F FFO Performance Work Statement (PWS) and Section M, paragraph M3.2, including subsections. Comments on this page shall be 10 font or greater. Past performance on work for commercial customers, state and local governments, and subcontracts will be evaluated with similar Federal contracts. Insert additional page(s), if necessary.