FINAL_A1_RFP_Attachment_-_L-3_PresentPast_Performance_Information_Form_(PPI)_(Revisions_made).docx
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- Attached to
- AFICA Regional Engineering and Construction (RE&C) Federal contract opportunity
- Solicitation number
- FA8903-15-R-0002
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FINAL A1 RFP Attachment - L-3 Present/Past Performance Information Form (PPI) (Revisions made)
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REGIONAL ENGINEERING AND CONSTRUCTION (RE&C)
SECTION L ATTACHMENTS
ATTACHMENT L-3
Present/Past Performance Information Form (PPI)
The following is a sample of the information contained within the past performance information form. The format set forth in this sample is not an exact duplicate of the online version (PPI Tool). As specified in Section L this PPI form template is required for each project/contract submitted as part of your proposal in addition to electronic and hardcopy of PPI tool entry.
Please select all applicable boxes to reflect your proposed region(s):
|_| East Region |_| Central Region |_| West Region
Please select applicable box and complete fill-in to reflect if project is a Prime or Teaming Partner submission:
|_| Prime: _______________ OR |_| Teaming Partner: ______________ proposing with ___________ (Prime)
Please confirm - project submission (Prime or Teaming Partner), that the company in which project is being provided, must have performed at least 15% of the cost of the project, not including cost of materials, with its own employees:
|_| Performed at least 15% of the cost of the project
REGIONAL ENGINEERING AND CONSTRUCTION (RE&C)
PAST AND PRESENT PERFORMANCE QUESTIONNAIREPRESENT/PAST PERFORMANCE INFORMATION
| REFERENCE NAME |
| OFFICE/COMPANY |
| TITLE/POSITION |
| PHONE |
| TIME ON PROJECT |
Part I – To Be Confirmed/Corrected by Reference
1. Contract Title: _______________________________________________________________
2. Contract Number: ____________________________________________________________
| 3. | Prime/Teaming Partners: List separately Prime (if applicable) and/or all RE&C Teaming Partners that worked on this effort (An effort is defined as a contract or a task order under an IDIQ contract). Lump the rest into “all other…” Identify for each contractor listed if they were a Prime or a subcontractor on this effort. |
| CONTRACTOR NAME | |
| DUNS | |
| LARGE OR SMALL BUSINESS | |
| PRIME |
SUBCONTRACTOR / TEAMING PARTNER
| 4. | Contracting Agency or Customer: | __________________________________________________ |
| __________________________________________________ |
5. Reference contact information: Identify those persons/customers most knowledgeable about the submitted contract. For Government contracts provide current information for the Government Program Manager, Project/Task Manager, Contracting Officer and Administrative Contracting Office. For commercial contracts, provide points of contact fulfilling these same roles. Any additional customers that have in-depth knowledge of the contract may be added.
| REFERENCE NAME |
| OFFICE/COMPANY |
| TITLE/POSITION |
| PHONE |
6. Contract type: Select all that apply
| |_| Firm-Fixed Price |
| |_| Task Order under IDIQ |
| |_| Independent Contract |
| |_| Other ___________________ |
| 7. Excluding unexercised options: | Original Contract Value: | $________ | |
| Current Value: | $________ |
If the values are different, explain why:
| 8. Original period of performance: | Start: | ________ | |
| End: | ________ | ||
| Current End Date: | ________ |
If the schedule has changed, explain why:
9. Place of performance (check all that apply):
| |_| Continental US, East Region, Specify state(s): _________________________________________________ |
| |_| Continental US, Central Region, Specify state(s): ______________________________________________ |
| |_| Continental US, West Region, Specify state(s): ________________________________________________ |
| |_| Other:__________________________________________________________________________________ |
| |_| Remote. Specify location: _________________________________________________________________ |
| |_| Austere: Specify location:_________________________________________________________________ |
10. Select all stakeholders you dealt with under this contract:
|_| Regulators |_| Elected Officials |_| Government agencies |_| Citizens Groups |_| Foreign governments |_| Other: ___________________________________________________
11. Please check all types of services that apply to this effort: (Mark selections in first column)
| √ |
| Categories |
| Category |
| SOW Para |
| Description |
| 1 |
| Management, Planning and Reporting |
| 4.0 |
Work Breakdown Structure, Schedule and Planning Requirements, Status Reporting, Meetings & Conference Requirements, Contract Documentation, Notification Requirements (to include UXO), Permits, Photo Documentation, Site Access Badges, Worksite Activities and Coordination, Data Collaboration Site, Quality System Plan, Technical Plans & Reports,
| 2 |
| Site Work |
| 5.1 |
| Conservation, Site preparation, Demolition |
| 3 |
| Specialized Construction: |
Airfield fuel storage & hydrant systems Airfield pavements & associated systems Historic Building Renovations or New Construction in an area designated as a Historic District Construction of Classified or Highly Secure facilities New construction (not a renovation), multiple-story building (defined as four or more stories), with at least 200,000 square feet gross building area and of the Construction Type I-A, Type I-B, Type II-A, or Type II-B 6.0-7.0
Option 1: Past performance effort involved essentially the same scope, magnitude and complexity of effort (>$2M) which includes specialized construction and delivery circumstances and/or methods.
| 4 |
| Delivery Circumstances and/or Methods: |
Remote/Austere Conditions Design-build Construction
Sustainable facility Construction
6.0 - 7.0
1.0
Minimum Design, Design Build Plus, Design Build, Construction, Demolition, Emergency Response, Fueling Systems, Maintenance and Repair
Facility Construction - Other Than Specialized:
Construction that is not considered Specialized Construction (Category 3 above). (Dorms, Hospitals, Etc.)
| 6.0 - 7.0 |
| Option 2: Past performance effort involved essentially the same scope and magnitude of effort (>$8M) which includes one of the delivery circumstances and/or methods and complexities in areas other than the specialized construction this solicitation requires. |
12. Please provide a brief description of service provided under this contract.
13. Rationale for effort relevance: Describe your rationale supporting your assertion of relevance of the submitted contract to the RE&C acquisition. Clearly link the past performance information to the RE&C Basic Contract Statement of Work (SOW) and relevancy definitions. Include details that indicate performance in remote/austere environments, if applicable. Include any issues relating to emergency response, UXO/HAZMAT/HAZWASTE, types of construction and/or property control.
Present/Past Performance Information – Summary Sheet
| Role in RE&C |
| Contractor Name |
| CONTRACT NUMBER |
F41624-01-D-XXXX-0001
Prime
Teaming Partner
Teaming Partner
Teaming Partner
Teaming Partner
Teaming Partner
Teaming Partner
Teaming Partner
Note: The Present/Past Performance Summary Sheet is only required once per offeror and is not required to be duplicated on each PPI form.
Regional Engineering and Construction FA8903-15-R-0002 ATTACHMENT L-3 PAGE 1 of 4
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