Attachment_5_Past_Performance_Information_Sheet.pdf

ATTACHMENT 2

IAW EVALUATION METHOD AND CRITERIA

PAST PERFORMANCE INFORMATION

**When completed, this document is Source Selection Information IAW FAR 3.104**

SECTION 1: CONTRACT IDENTIFICATION (TO BE COMPLETED BY OFFEROR)

A. Contractor

B. Contractor Cage Code

C. Role (check): Prime Subcontractor Teaming Partner Joint Venture Partner Other (specify)

If subcontractor, partner or other, who is the Prime?

D. Contract/Blanket Purchase Agreement (BPA) Number

Task/Call/Delivery/Purchase Order Number

Note: If the referenced contract is an overarching ID/IQ or BPA, the Government will only assess performance at the ID/IQ level and not performance on each individual underlying task/delivery order. If the offeror would like assessment of the single task/call/delivery/purchase order, the offeror shall submit that as a separate reference.

E. Contract Type (FFP, CPFF, ID/IQ (include types), LH, etc.)__________________________________________ A&AS Yes No If yes, A&AS type: Management & Professional Support Services Studies Analyses and Evaluations

Engineering & Technical Services

F. Period of Performance

G. Place(s) of Performance:

Multiple locations? Yes No If yes, specify locations:

CONUS OCONUS Both

Provide details:

State Federal DoD Other Provide details:

H. Total Contract or Task/Call/Delivery/Purchase Order $ Value (including options)

I. Has a CPAR (or more than one CPAR) been completed for this contract? Yes No If Yes, provide dates covered by CPARs:

*Program Title *Short Program Title (i.e., acronym)

Supported Agency/Customer Instructions: Enter the servicing contracting agency and customer (office symbols suffice).

Contract Dollar Value

*Original

Instructions: Input total contract dollar value, with all options, in the amount originally awarded on the referenced contract; if ID/IQ or BPA, provide total ceiling; if stand-alone task/call/delivery/purchase, provide amount of the individual contract.

*Current

Instructions: Input total contract dollar value, with all options, as the contract stands at time of PPI submission; if ID/IQ or BPA, provide total ceiling;

if stand-alone task/call/delivery/purchase, provide amount of the individual contract.

Explain the difference in contract values, if applicable Period of Performance (mm/dd/yy) *Start Date

*Original End Date

*Current End Date

Instructions: Input end date, as the contract stands at time of PPI submission

Explain the difference in Period of Performance, if applicable

*Brief Description of Effort

Instructions: Offerors shall:

1) Provide a brief description of the service provided and actual work performed under this contract reference.

2) If submitting a reference for a subcontractor, teaming partner, joint venture, or a corporate division related to the Prime, describe the nature and portion (percentage) of the work to be performed on this contract by the company referenced on the PPI sheet, and clearly define the relationship.

3) State if the reference is A&AS. If so, state whether the A&AS contract reference was for: Management & Professional Services;

Studies, Analyses & Evaluation; and/or Engineering & Technical Support Services.

*Explain how your experience on this program is relevant for each factor/subfactor under the Technical Factor in Section M, including any unique aspects that demonstrate relevancy in this effort.

Instructions: Provide evidence to support how the contract reference has relevant experience and demonstrates the ability to perform attached PWS requirements.