Attachment_16_-_PPI.pdf

SECTION L ATTACHMENT

PAST PERFORMANCE INFORMATION

Provide the information requested in this form for each contract/program (citation) 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 citations submitted and the length of each submission to the limitations set forth at paragraphs L.1.3 of Section L of this solicitation.

A. Offeror Name (Company/Division) i

CAGE Code:____________________

DUNS Number:____________________

B. Project Name/Title:____________________

C. Contract Specifics:

C1. Contracting Agency or Customer _____________________________________________

C2. Contract Number__________________________________________________________

C3. Contract Type __________________________

C4. Period of Performance __________________________

C5. Initial Contract $ Value _________________ (Do not include unexercised options)

C6. Current/Final Contract $ Value _________________ (Do not include unexercised options)

C7. Brief description of the reason(s) for differences between initial contract value (C5) and current/final contract value (C6):

D. Brief Description of Service Provided:

(Please indicate whether performed as Prime or Subcontractor. Please indicate whether it was development and/or production, or other acquisition phase (or Service) and highlight portions considered most relevant to current acquisition. Indicate percentage of the work performed by the offeror.)

E. Completion Date:

E1. Original date: ____________________

E2. Current Schedule: ____________________

E3. Estimate at Completion: ____________________

E4. How Many Times Changed: ____________________

FA4855-13-R-0011

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12 March 2013 1 of 2 Pages

E5. 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).

Contracting Officer

Name:

Office:

Address:

Tel. No.

Fax No.

Program Manager and/or Site Manager

Name:

Administrative Contracting Officer

Name:

G. For each of the applicable sub-factors under the Technical factor in Section M, illustrate how your experience on this program applies to that sub-factor.

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. 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).

i (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).

FA4855-13-R-0011

Attachment 16

12 March 2013 2 of 2 Pages