ATTACHMENT_L-4.docx
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- Attached to
- AFICA Environmental Services & Construction-PACAF (ESC-PACAF) Federal contract opportunity
- Solicitation number
- FA8903-16-R-0006
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ESC-PACAF SECTION L--ATTACHMENT L-4
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PART IV – REPRESENTATIONS AND INSTRUCTIONS
ATTACHMENT L-4 PAST PERFORMANCE INFORMATION SHEET (PPI)
ATTACHMENT L-4
PAST PERFORMANCE INFORMATION SHEET
THE FOLLOWING IS A SAMPLE OF THE INFORMATION CONTAINED WITHIN THE PAST PERFORMANCE INFORMATION FORM. WHERE APPLICABLE, KEYSTROKE LIMITATIONS OF THIS VERSION ARE PROVIDED HERE FOR PLANNING PURPOSES.
ENVIRONMENTAL SERVICES AND CONSTRUCTION
PACIFIC AIR FORCES (ESC-PACAF)
PRESENT/PAST PERFORMANCE INFORMATION
1. Project Name/Title:
2. Contract Number (To include TO if applicable):
3. Contracting Agency or Customer:
4. Contract type: Please mark all that apply.
| |_| Cost Plus Fixed-Fee | |_| Task order under ID/IQ |
| |_| Firm Fixed Price | |_| Independent Contract |
| |_| Time and Materials | |_| Other ___________________ |
| 5. Excluding unexercised options: | Original Task Order/Contract Value: | $_______ | |
| Current Value: | $________ |
If the values are different, explain why: ______________________________________________________________________________________________________________________________________________________________________________________
| 6. Periods of Performance: | Start: | ________ | |
| End: | ________ | ||
| Current End Date: | ________ |
If the schedule has changed, explain why: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
7. Select all stakeholders you interacted with under this project: (Check all that apply) |_| Regulators |_| Elected Officials |_| Government agencies |_| Citizens Groups |_| Foreign Governments |_| Other:___________________________________________
8. Place of performance: Specify cities, states, countries, and DoD installations if applicable: ______________________________________________________________________________________________________________________________________________________________________________________
9. Team members: List separately all ESC-PACAF team members that worked on this project. Lump the rest into “all other…” Identify for each contractor listed if they were a Prime or a subcontractor on this effort.
| CONTRACTOR NAME |
| CAGE |
| DUNS |
| BUSINESS SIZE |
| PRIME |
| SUB |
| % WORK |
All other contractors not part of the proposed team
10. Reference contact information: Identify those persons/customers most knowledgeable about the submitted project. For Government projects provide current information for the Program/Project Manager and Contracting Officer. For commercial projects, provide points of contact fulfilling these same roles. Any additional customers that have in-depth knowledge of the project may be added.
| REFERENCE NAME |
| OFFICE/COMPANY |
| TITLE/POSITION |
| PHONE |
11. Please provide a brief description of service provided under this project. Summarize the scope of the project submitted and clearly state the paragraph in Part B or Part C of the ESC-PACAF PWS to which the project relates. (Do not include paragraph numbers from Part A or Part D of the ESC-PACAF PWS). Describe the rationale supporting your assertion of relevance of the submitted project to the ESC-PACAF acquisition.
5000 KEYSTROKE LIMITATION ON WEB VERSION
12. Management actions employed to overcome problems under this project: Describe management actions employed in overcoming problems and the effectiveness of those actions, in terms of improvements achieved or problems rectified. This may include a discussion of efforts accomplished by the Offeror, or applicable Teaming Member, to resolve problems encountered on prior projects as well as past efforts to identify and manage program risk. Address at least one example of a regulatory issue or risk, the steps taken to solve the problem and the results. Other examples may include a discussion of efforts accomplished by the Offeror, or applicable teaming member, to resolve problems encountered on prior projects (identified by contract and TO number) as well as past efforts to identify and manage program risk. For example, submit quality performance indicators or other management indicators that clearly demonstrate that an Offeror, or applicable teaming member, has addressed and overcome past problems.
3000 KEYSTROKE LIMITATION ON WEB VERSION
Past Performance Information (PPI) FA8903-16-R-0006 ATTACHMENT L-4 Page 1 of 3
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