Attachment 10 - PPI Worksheet 14 Dec 2022.docx

PAST PERFORMANCE INFORMATION WORKSHEET

ATTACHMENT 10, FA481922R0014 (Amendment 0003)

A. Company Information

/corporate organizational change affect the relevance of this effort to the instant acquisition, note those changes below:

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B. Contract Information

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* Base and all options value, to include all unexercised options.

C. Provide a brief description of service provided and actual work performed under this contract reference and whether it was performed as ☐Prime, ☐Subcontractor or ☐ Other (If other is selected, please use the comment box below to provide explanation).

D. Primary Customer Points of Contact: (For Government contracts, provide current information on the Contracting Officer, in the format shown below. For commercial contracts, provide points of contact fulfilling these same roles.)

Contracting Officer

E. Address any technical (or other) area about this contract/program considered relevant to the proposed effort. Include any unique aspects (scope, magnitude of effort, and complexity) that demonstrate relevancy in this effort. Provide evidence to support such relevance to the requirements as described in the PWS.

F. If applicable, explain corrective actions taken in the past, if any, for substandard performance and any current performance problems such as cost overruns, extended performance periods etc.

G. Describe the nature or portion of the work on the proposed effort to be performed by the business entity being reported here. Also, estimate the percentage of the total proposed effort to be performed by this entity and whether this entity will be performing as the prime, subcontractor, or a corporate division related to the prime (define relationship).