Past_Performance_Information_Sheet.docx

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Attached to
PAINT IDIQ Federal contract opportunity
Solicitation number
FA4801-13-R-0004
Issued by
Department of the Air Force Air Combat Command

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Past Performance Information Sheet (PPIS)

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FA4801-13-R-0004

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 at paragraph B1 of 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. Brief Description of Effort as __Prime or __Subcontractor (Please indicate whether it was development and/or production, or other acquisition phase 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/orName____________________
Site ManagerOffice____________________
Address____________________
____________________
Telephone__________________
FAX Number_______________
2. Contracting Officer:Name____________________
Office____________________
Address____________________
____________________
Telephone__________________
FAX Number_______________
3. AdministrativeName____________________
Contracting Officer:Office ____________________
Address____________________
____________________
Telephone__________________

FAX Number_______________

G. Address any technical (or other) area about this contract/program considered unique.

H. For each of the applicable subfactors under the Mission Capability factor in Section M, illustrate how your experience on this program applies to that subfactor.

I. 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.

J. 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 .