Past_Performance_Information_Sheet_PPIS.docx
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- Simplified Acquisition Base Engineering Requirement (SABER) Federal contract opportunity
- Solicitation number
- FA4801-12-R-0005
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FA4801-12-R-0005
Attachment X
ATTACHMENT 3
PAST PERFORMANCE INFORMATION SHEET
Provide the information requested in this form for each contract/program 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 past efforts submitted and the length of each submission to the limitations set forth in Section L-2 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. __Prime or __Subcontractor. Describe the effort your company performed. Provide rationale supporting recency and relevance (as defined in sections L and M of the solicitation). Provide frank, concise comments regarding your performance on this contract to substantiate a rating of acceptable as defined in sections L and M of the solicitation. Use additional space as required.)
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 | Name | ____________________ | |||
| Site Manager | Office | ____________________ | |||
| Address | ____________________ | ||||
| ____________________ | |||||
| Telephone__________________ | |||||
| FAX Number_______________ |
| 2. Contracting Officer: | Name | ____________________ | ||
| Office | ____________________ | |||
| Address | ____________________ | |||
| ____________________ | ||||
| Telephone__________________ | ||||
| FAX Number_______________ |
| 3. Administrative | Name | ____________________ | ||
| Contracting Officer: | Office ____________________ | |||
| Address | ____________________ | |||
| ____________________ | ||||
| Telephone__________________ |
FAX Number_______________
G. Address any technical (or other) area about this contract/program considered unique.
H. Specify, by name, any key individual(s) who participated in this program and are proposed to support the instant acquisition. Also, indicate their contractual roles for both acquisitions.
I. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting.
File details come from the government source that posted it. Updated .