Attachment_10_PPI_rev.doc

PAST PERFORMANCE INFORMATION FORM

IT SERVICE DESIGN

Solicitation Number: HDTRA1-18-R-0045 Provide the information requested in this form, for each contract 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 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 Statement of Objectives (SOO) Section 4.0 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.

ATTACHMENT 10

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