Attachment_6_-_PPI_Contract_Reference_Sheet_v1.docx

For Official Use Only When completed, this document is Source Selection Information IAW FAR 2.101 and 3.104.

Attachment 6 Solicitation FA558719R0001 Past Performance Information XX Xxxx 2019

Company/Division Name:

Product/Service:

Contracting Agency/Customer:

Contract Number:

Contract Dollar Value:

Period of Performance:

Is past performance data available for the Government to access through Past Performance Information Retrieval System (PPIRS) or will a Past Performance Questionnaire (PPQ) be submitted:

Customer Points of Contact

Program Manager’s Name:

Office:

Address:

Telephone:

Contracting Officer’s Name:

Office:

Address:

Telephone:

Other POC Name and Position:

Office:

Address:

Telephone: