AtchL1_PPIS 1 .doc

SECTION L, ATTACHMENT 1

PAST PERFORMANCE INFORMATION SHEET (PPIS)

NOTES: All information contained in “NOTES”, including this line, may be deleted in the submittal to maximize the available space for responses. Use this worksheet for each contract to be identified/submitted in the past performance volume – up to 10, whether applicable to firms in the Prime Integrator or major partner or subcontractor role, offeror to choose most beneficial mix of contracts showing relevancy. See definitions/elements in Section L Instructions to Offerors. Re-use this template to provide information for each contract identified. Provide frank, concise comments regarding performance.

A. Offeror Name (Company/Division):

Cage Code:

DUNS Number:

(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 below.)

B. Program title:

C. Contract Specifics:

1. Contracting agency or customer:

2. Contract number:

3. Contract type:

4. Period of performance:

5. Original contract $ value (do not include unexercised options):

6. Current contract $ value (do not include unexercised options):

7. If amounts for 5 and 6 above are different, provide a brief description of the reason below.

8. Original completion date:

9. Current scheduled completion date:

10. Estimated completion date:

11. Number of contract changes:

12. Enter primary cause for contract changes below:

D. Enter below a brief description of effort.

(NOTE: Please indicate support or services role, highlight portions considered most relevant to current acquisition and whether performance was as Prime or Subcontractor/teaming arrangement.)

E. Primary customer points of contact:

(NOTE: For Government contracts or orders, provide current information on all three individuals. For commercial contracts, provide points of contact fulfilling these same roles.)

Name

Office

Address

Telephone

FAX No

E-mail

F. Address below any technical (or other) area about this contract considered unique.

G. Describe the relevancy of this contract as related to the F-16 USAFE Depot Maintenance Program Performance Work Statement.

NOTE: See definitions and further instructions in Section L, Past Performance

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

I. Subcontracting Plan Requirements

1. Was a subcontracting plan required? _______ If YES, go to # 2. If NO, go to item J

2. Planned goal (%)

Achieved goal (%)

3. Explain below why goals were not met.

J. Describe below the nature of the work to be performed on the contract by the business entity being reported here.

NOTE: Estimate the percentage of the proposed F-16 USAFE Depot Maintenance contract effort to be performed by this entity and whether this entity will be performing as the prime, major partner, subcontractor, joint venture/teaming arrangement (define relationship). For example; if the business entity being reported here is a training devices/systems maintainer, and is the only maintainer on your team, then they would undoubtedly be performing 100% of maintenance tasks and a percentage of the total effort.

K. Briefly summarize the major contract issues and corrective actions taken for the contract listed in Paragraph B above.

L. Describe unfavorable and/or marginal past performance ratings/reports and progress towards correction.