Sec L Atch L-3 Past Performance Information Form 04.25.12.doc

Attachement L-3 Solicitation #HQ0147-11-R-0006

Past Performance Information Sheet (PPI), Upgraded Early Warning Radar & COBRA DANE (UEWR & CD) Ballistic Missile Defense System (BMDS) Integration & Test, HQ0147-11-R-0006

Provide a separate completed form for each contract/program submitted for evaluation.

Provide frank, concise comments regarding your performance on the contracts you identify.

1. Contract Title: _______________________________________________________

2. Contract Number: _________________________ Task Order Number: _________

3. Contractor’s Name: ______________________________________________ Address:

Phone Email:

4. Did you perform as a Prime or Subcontractor?

4a. If you performed as a Subcontractor, provide Prime Contractor’s information

Contractor Name: ______________________________________________ Address:

Phone Email

5. Contracting Agency or Customer: _______________________________________

6. Reference contact information: Provide two (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 Officer. For commercial contracts, provide two (2) points of contact fulfilling these same roles.

Attachment L-1: Past Performance Information Sheet (PPI) (Cont.)

7. Identify the scope summary of the contract or task order submitted as it relates to the A&AS scope. ______________________________________________________________________________

7a. Contract type: Please check one box from each column.

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Firm-Fixed Price

Independent Contract

Cost Plus Fixed Fee

IDIQ Contract ________________ Task Orders #_____

Cost Plus Award Fee List all other TO#s performed under the IDIQ Contract

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Time and Materials ______________________________________________

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Hybrid (reference contract types):_________________________________________

7b. Excluding unexercised options:

Original Contract Value:

Current Value:

If the values are different, explain why:

7c. Original Period of Performance:

Start:

End:

If the performance period has changed, explain why:

7d. Place of performance (check all that apply):

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SINGLE LOCATION

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MULTIPLE LOCATIONS

CONUS – Specify City/State: _________________________________________

OCONUS – Specify Country: _________________________________________

8. Please provide a brief description of service provided under this contract. Include details that will indicate specific efforts of relevant personnel (i.e., Program Manager, Task Order Manager, etc.). Clearly demonstrate management actions employed in overcoming problems and the effects of those actions in terms of improvements achieved or problems solved. This may include a discussion of efforts accomplished by the Offeror, or applicable subcontractor, to resolve problems encountered on prior contracts as well as past efforts to identify and manage program risk. For example, submit quality performance indicators or other management Attachment L-1: Past Performance Information Sheet (PPI) (Cont.)

indicators that clearly support that an Offeror, or applicable subcontractor, has overcome past problems. (Comments on this page shall be 10 font or greater). Insert additional page(s), if necessary.

9. Rationale for effort relevance: Describe in detail your rationale supporting your assertion of relevance of the submitted contract to the UEWR & CD BMDS Integration & Test acquisition. Clearly link the past performance information to the UEWR & CD BMDS Integration & Test Statement of Work (SOW) and Task Orders (TOs) and Technical Acceptance criteria. (Comments on this page shall be 10 font or greater). Past performance on work for commercial customers, state and local governments, and subcontracts will be evaluated with similar Federal contracts. Insert additional page(s), if necessary.

10. Small Business Subcontracting (For Large Businesses only)

Goals listed in the applicable Small Business Subcontracting Plan IAW FAR 52.219-9

Goal

Negotiated

Actually Achieved*

SB

SDB

WOSB

SDVOSB

HUBZone

* Final reported Small Business subcontracting performance if contract performance is completed or cumulative Small Business subcontracting performance reported for the latest reporting period for which a report was submitted if contract performance is not complete.