Atch 6 PP Information Sheet (PPIS).docx

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Local Telecommunication Service at Holloman AFB, NM
Solicitation number
FA480124Q0004
Issued by

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This document is a Past Performance Information Sheet (PPIS) for a local telecommunications service contract at Holloman AFB, New Mexico. The PPIS requires the offeror to provide details on a relevant past contract, including the contracting agency, contract number, contract type, period of performance, original and current contract values, and completion dates. The offeror must also provide points of contact and a description of the effort performed, highlighting the recency and relevance to the current solicitation.

The related federal contract opportunity is for a local telecommunications service contract at Holloman AFB, with a period of performance from September 2024 through September 2029. The solicitation number is FA480124Q0004, and the expected award date is on or about August 5, 2024. The contract will provide essential local area telecommunications services and features supporting the base 24/7/365. A site visit is scheduled for July 2, 2024, and questions are due by July 8, 2024, with offers due by July 16, 2024.

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Sol#. FA480124Q0004 No Past Performance

ATTACHMENT 6

PART II

PAST PERFORMANCE INFORMATION SHEET (PPIS) for

LOCAL TELECOMMUNICATION SERVICE (LTS)

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:____________________
Unique Entity ID (UEI) 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 6 and 7 above are different, provide a brief description of the reason ____________________________________________________________________________________________________________________________________________________________________________________________________

D. Completion Date:

1. Original date:____________________
2. Current Schedule: ____________________
3. Estimate at Completion: ____________________
4. How Many Times Changed: ____________________
5. Primary Causes of Change: ______________________________________________________________

E. Primary Customer Points of Contact (PoC): (For Government contracts, provide current information on all three individuals. For commercial contracts, provide points of contact fulfilling these same roles).

Government PoCs
Name
Phone #

Program Manager, Site Manager or COR

Procuring Contracting Officer

Administrating Contracting Officer

D. __Prime or __Subcontractor. Continuing below, 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 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. Return this no-more than 3-page Attachment per contract with quote.

17 June 2024 Attachment 6 Page 2 of 2

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