Atch_9_PPI_Amend_02.doc

H92222-14-R-0021-0002 Attachment 9 Revision 1

PAST AND PRESENT PERFORMANCE INFORMATION SHEET SWMS GROUP B

Complete this form for each contract/program submitted for evaluation. Provide frank, concise comments regarding your performance on the contracts you identify. Limit 2 pages per citation.

Group B Prime Offeror Name/Cage:

Contract Title:

Contract Number:

1. Contractor Name/Cage (if different than prime offeror):

2. Contracting Agency/Customer:

Contract Type:

Contract Value (Including options):

Current Contract Value (excluding unexercised options):

Period of Performance

Single Location FORMCHECKBOX Multiple Locations

FORMCHECKBOX

CONUS FORMCHECKBOX

OCONUS – Specify Country(s):

1. Brief Description of Effort as FORMCHECKBOX Prime or FORMCHECKBOX Subcontractor. Estimate the percentage of the total Group B proposal to be performed by this company and whether performing as the prime or a subcontractor.

2. Provide 2 points of contact most knowledgeable of the submitted contract. For Government contracts, points of contacts may include Program Manager, Project/Task Manager, Contracting Officer, and Administrative Contracting Office. For commercial contracts, provide 2 points of contact fulfilling these same roles.

3. Provide a brief description of services provided under this contract; highlight portions considered most relevant to the SWMS Group B acquisition.

4. Illustrate how your company past performance on this program applies to the sub-factors under Factor 1 and Factor 2 and clearly link the past performance information to the SWMS Group B Statement of Work. Ensure. Describe in detail how your company past performance on this contract applies to the Relevancy Criteria identified in Section L.

Once complete, this form contains Source Selection Information IAW FAR 3.104