TAB_13A_Past_Performance_Info_(VIPC2.0)_20SEP18.pdf

HQ0147-19-R-0006

TAB 13A

Past Performance Information (PPI), HQ0147-19-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: ___________________________________________________

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.

NAME POSITION ORGANIZATION PHONE E-MAIL

Source Selection Sensitive See FAR 2.101 and 3.104 (When Filled In)

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

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

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 Time and Materials ______________________________________________ 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):

SINGLE LOCATION

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 indicators that clearly support that an offeror, or applicable subcontractor, has overcome past problems. (Comments 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 acquisition. Clearly link the past performance information to the Performance Work Statement (PWS) 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.

Source Selection Sensitive See FAR 2.101 and 3.104 (When Filled In) HQ0147-19-R-0006

TAB 13A