PPPI.doc

PRESENT AND PAST PERFORMANCE INFORMATION

SOLICITATION NUMBER: HQ0516-16-R-0006

Provide the information requested in this form for each contract/program being described. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. Limit the number of past efforts submitted and the length of each submission.

1.

Offeror Name (Company/Division):

CAGE Code:

DUNS Number:

2.

Program Title:

3.

Contract Specifics:

a. Contracting Agency or Customer

b. Contract Number

c. Contract Type

Select one: IDIQ/Specific/Purchase Order/GWAC/

GSA/Agency Task Order

Select One: FFP/T&M/LH/Cost

More if Applicable: ________________________

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

b. Procuring Contracting Officer:

c. Administrative Contracting Officer (if applicable):

5. Brief Description of Effort.

6.

Illustrate how your experience on this referenced contract/program relates to the scope of your proposed effort on this solicitation.

7.

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

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