Attachment_L-1_PPIF.docx

ATTACHMENT L-1: PAST PERFORMANCE INFORMATION FORM

Provide the information requested in this form for each contract being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract submitted. Limit the number of past efforts submitted to the limitations set forth in Section L-002 of this solicitation.

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, explain here: ______________________________________________________________________________ B. Program Title:_______________________________________________________________

C. Contract Specifics:

1. Contracting Agency or Customer:_________________________________________

2. Contract Number/Task Order/Job Order:____________________________________

4. Role: ☐ Prime ☐ Sub-contractor ☐ Mentor ☐ Protégé

5. SABER: ☐ Yes ☐ No

6. Job Disciplines:

☐ Heating Ventilation Air Conditioning (HVAC) ☐ Electrical (Indoor and Outdoor) ☐ Mechanical ☐ Design ☐ Carpentry ☐ Roofing ☐ Excavation ☐ Plumbing ☐ Sheet metal ☐ Painting ☐ Demolition ☐ Concrete masonry ☐ Welding ☐ Carpeting ☐ Lead abatement ☐ Asbestos abatement ☐ Steam Fitting ☐ Road and parking lot repair ☐ Fire Protection ☐ Fencing ☐ Other: _____________________________________________________________________

7. Contract Environment:

☐ USAF or Air Reserve Base (Conus) _________________________________

☐ DoD Installation_________________________________________________

☐ Federal ________________________________________________________

☐ State __________________________________________________________

☐ County____________________ State of______________________________

☐ City________________________________State of _______________________

☐ Other_____________________________________________________________

8. Period of Performance: From ______________________ To ___________________

9. Contract/Order/Project Amount: ___________________________________________

10. Highest amount of Task Orders performed concurrently under this contract:

11. Original Contract $ Value: $_____________________ (Do not include unexercised options)

12. Current Contract $ Value: $_____________________ (Do not include unexercised options)

13. If amounts for 11 and 12 above are different, provide a brief description of the reason:

D. Brief Description of Effort as _____ Prime or ____ Subcontractor or _____ Mentor or ______ Protégé (check one)

E. Completion Date

1. Original Date: ________________________________________________________________

2. Current Schedule: _____________________________________________________________

3. Estimate at Completion: ________________________________________________________

4. How Many times Changed: _____________________________________________________

5. Primary Causes of Change: _____________________________________________________

F. Primary Customer Points of Contact: (For Government contracts, provide current information on all three individuals. For commercial contracts, provide points of contact fulfilling these same roles).

1. Program Manager Name: _______________________________________________________

a. Office:________________________________________________________________

b. Address:________________________________________________________________

c. Phone:__________________________________________________________________

d. Email:__________________________________________________________________

2. Contracting Officer Name: _____________________________________________________

a. Office:__________________________________________________________________

b. Address:________________________________________________________________

c. Phone:__________________________________________________________________

d. Email:__________________________________________________________________

3. Administrative Contracting Officer Name: _______________________________________

a. Office:__________________________________________________________________

b. Address:________________________________________________________________

c. Phone:__________________________________________________________________

d. Email:__________________________________________________________________ G. Address any technical (or other) area about this contract/program considered unique:

H. Specify, by name, any key individual(s) who participated in this program and are proposed to support the instant acquisition. Also, indicate their contractual roles for both acquisitions.

FA9301-14-R-0011

Section L – Attachment L-1