Attachment_5_L1_PPPI.doc

PRESENT AND PAST PERFORMANCE INFORMATION FORM

Administrative Service Support

SOLICITATION NUMBER: HDTRA1-14-R-0018

June 16, 2014 Provide the information requested in this form, for each contract/program being assessed for past or present performance. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate form for each contract/program submitted.

1.

Offeror Name (Company/Division):

CAGE Code:

DUNS Number + 4:

2.

Program Title:

3.

Contract Specifics:

a. Contracting Agency or Customer

b. Contract Number

c. Contract Type

d. Role (check one) Prime_______ Sub_______

e. Period of Performance

f. Original Contract $ Value ________________ (Do not include unexercised options)

g. Current Contract $ Value ________________ (Do not include unexercised options)

h. Total Contract $ Value ________________ (Include unexercised options)

i. If amounts for (f) and (g) above are different, provide a brief description of the reason:

4. 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.)

a. Program Manager:

Name

Office

Address

Telephone

E-mail

b. Contracting Officer:

c. Administrative Contracting Officer (if applicable):

5. Provide a brief description of the effort.

6. Illustrate how your experience on this referenced contract/program relates to the IDIQ Performance Work Statement (PWS) Sections 4.0 and 5.0 of your proposed effort on this solicitation.

7. Identify principle challenges you have encountered in executing previous/current efforts as related to this proposal and how you were able to mitigate and/or overcome them.

Page 1 of 3 ATTACHMENT L-1

HDTRA1-14-R-0018