Section_L_-_Attachment_04_-_Phase_1B_Past_Performance_Information_Sheet.docx

J-Tech II

FA8240-15-R-7218

L–4 Attachment

PHASE 1B PAST PERFORMANCE INFORMATION SHEET (PPIS)

Provide the information requested in this form for each one of the present or past contracts/projects you have identified. Provide a separate completed form for each contract/project identified. Each space is limited to 500 words unless otherwise stated.

A. Current Offeror (Company/Division):

CAGE Code:

DUNS Number:

B. Contractor POC Information:

C. Contract/Project Specifics:

1. Complete Name of Customer:

2. Customer Address and Telephone #:

3. Contract Number or Citation:

4. Type of Contract (e.g. FFP, CPAF):

5. Period of Performance:

6. Initial Contract Price/Cost and Fee:

7. Final Amount Invoiced/Amount Invoice to Date:

8. Original Completion Date:

9. The average annual obligated value over the life of the contract/project or last five (5) years of contract performance, whichever time period is less:

10. Current scheduled completion date (if on-going):

11. Estimated completion date (if on-going):

12. Number of contractor Geographical Separated areas:

13. List the areas, to include the Metropolitan Statistical Area (MSA) code for question number 12 and explain how each area meets the definition of Geographically Separated.

D. Description of Work as Prime or Subcontractor (up to 2000 words).

E. List the J-Tech II Enterprise-level PWS paragraphs (3.2, 3.3, 3.4, 3.5, 3.6, 3.7, 3.8, 3.9, 3.10, 3.11, 3.12, 3.13, 3.14, 3.15, 3.16 and 3.17) for which the Offeror (prime, joint venture member, partner, subcontractor) demonstrated experience with this contract/project.

F. Self-Assessment of past performance record. Provide information of any problems encountered and your corrective actions.

[ ] Work Continuing – Behind Schedule

[ ] Work Completed – Litigation Pending or Underway

[ ] Work Completed – No Further Action Pending or Underway

H. Address below any technical (or other) issues about this contract considered particularly relevant to the current solicitation.

J. Include below relevant information concerning compliance with FAR 52.219-8, Utilization of Small Business Concerns, under the cited earlier contract.

K. Subcontracting Plan Requirements.

1. Was a subcontracting plan required? If YES, go to # 2.

2. Planned goal (%)

3. Achieved goal (%)

4. Explain below why any goals were not met.