Atch_4 _Past_Performance_Information_Sheet_(PPIS).docx
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- Solicitation number
- FA4801-15-R-0014
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Atch 4 Past Performance Information Sheet (PPIS)
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FA4801-15-R-0014
ATTACHMENT 4
PAST PERFORMANCE INFORMATION SHEET for Management Of Unaccompanied Housing (UH), Furnishings Management Office (FMO) And Housing Referral Office (HRO)
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 the Instructions to Offerors section of this solicitation.
| A. | Offeror Name (Company/Division): | ____________________ | |
| CAGE Code: | ____________________ | ||
| DUNS Number: | ____________________ | ||
| Performed as __Prime or __Subcontractor |
B. Program Title: ____________________
C. Contract Specifics:
| 1. Contracting Agency or Customer _____________________________________________ | |
| 2. Contract Number | __________________________________________________________ |
| 3. Contract Type __________________________(i.e. Fixed Price, Cost, Time and Material, etc.) | |
| 4. Period of Performance __________________________ | |
| 5. Place of Perfornace _____________________________ | |
| 6. Original Contract $ Value | _________________ (Do not include unexercised options) |
| 7. Current Contract $ Value | _________________ (Do not include unexercised options) |
| 8. 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 the 52.212-1, Instructions to Offerors and 52.212-2, Evaluations (including Addendums) of the solicitation). Provide frank, concise comments regarding your performance on this contract to substantiate a rating of acceptable as defined in the Instruction to Offeror 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_______________ | |||
| 15 April 2015 | Attachment 4 | Page 2 of 2 |
File details come from the government source that posted it. Updated .