L Atch 1 PPI

FA4890-10-R-0009

ATTACHMENT 1

SECTION L

ATTACHMENT 1

PAST PERFORMANCE INFORMATION (PPI) CONTRACT REFERENCE 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

L-8.1.

A. Offeror Name (Company/Division):

(Note: If the company/division referenced is different than the offeror, note those changes (see L-8.7)

DUNS Number:

CAGE Code:

Contract Number:

Delivery/Task Order (if applicable):

Contract Type:

Program Title:

Contracting Agency/Customer:

Period of Performance (Including all option years)

Start Date:

Original End Date:

Current End Date:

(Explain difference in period of performance, if applicable)

Contract Dollar Value

Original Contract $ Value (Including all option years):

Current Contract $ Value (Including all option years):

(Explain difference in contract dollar value, if applicable)

B. Brief Description of Effort as: __Prime or __Subcontractor

Provide a brief description of the service provided and actual work performed under this contract reference. If submitting a reference for a subcontractor, teaming partner, joint venture, or a corporate division related to the offeror, describe the nature and portion (percentage) of the work to be performed on RPA by the company referenced on the PPI sheet, and clearly define the relationship. Indicate place(s) of performance:

- State if performance was in multiple locations. If so, specify locations.

- State if performance was CONUS, OCONUS or both, and provide details.

- State if performance serviced state or federal government, and provide details.

- State if performance serviced the Department of Defense, and provide details.

C. Contracting Agency/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 Site Manager or QAE

Name:

Office:

Address:

Telephone:

FAX Number:

E-mail:

2. Procuring Contracting Officer

Office:

Address:

Telephone:

3. Administrative Contracting Officer

Office:

Address:

Telephone:

4. Other (Please Specify Role)

Office:

Address:

Telephone:

D. Explain how your experience and the experience of the contract references provided for your teaming partners, joint ventures, major or critical subcontractors is relevant in accordance with the relevancy criteria (#1 through #5) provided at M-3.3.3.

E. Describe relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are submitting.

F. Identify whether a subcontracting plan was required by the contract you are submitting. If one was required, identify, in percentage terms, the planned versus achieved goals during contract performance. If goals were not met, please explain.

G. In accordance with FAR 15.305(a)(2)(iii), relevant experience from key personnel may be evaluated. If you wish to include the past performance of individual key personnel, include names of key personnel and their contractual roles in those acquisitions. If relying on experience of key personnel, clearly explain “whose” past performance, and “how” the past performance is relevant to the proposed effort. If you are relying on past performance of key personnel, explain how you will ensure the same experience and qualification levels will be met if a substitution is required.