Attachment_5_L1_PPPI.pdf

Page 1 of 3 ATTACHMENT 5 L-1

HDTRA1-14-R-0018

PRESENT AND PAST PERFORMANCE INFORMATION FORM

Agency-Wide Administrative Support Services

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:

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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:

Name __________________________________________

Office __________________________________________

Address __________________________________________

Telephone __________________________________________

E-mail __________________________________________

c. Administrative Contracting Officer (if applicable):

Name __________________________________________

Office __________________________________________

Address __________________________________________

Telephone __________________________________________

E-mail __________________________________________

5. Provide a brief description of the effort.

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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.

8. Include relevant information concerning your compliance with FAR 52.219-8, Utilization of Small Business Concerns, on the contract you are identifying.