N00014-16-R-0004_NEMC_Attachment_6_PPIF.pdf

N00014-16-R-0004 Manufacturing Technology (ManTech) – Navy Electronics Manufacturing

Center of Excellence (NEMC), Attachment 6

Manufacturing Technology (ManTech) –

Navy Electronics Manufacturing Center of Excellence (NEMCOE)

Past Performance Information Form

22 Sep 2015

PAST PERFORMANCE INFORMATION FORM (PPIF)

Provide the information requested in this form for each one of the present or past contracts you have identified. Provide a separate completed form for each contract identified. Attach a separate sheet if additional space is needed.

A. Current Offeror (Company/Division):

CAGE Code:

DUNS Number:

B. Program Title:

C. Contract Specifics:

1. Complete Name of Customer:

2. Customer Address and Telephone #:

3. Contract Number or Citation:

4. Type of Contract:

5. Period of Performance:

6. Initial Contract Price/Cost and Fee: $

7. Final Amount Invoiced/Amount Invoiced to Date: $

8. Original completion date:

9. Current scheduled completion date:

D. Description of Work as Prime or Subcontractor.

E. Describe how the work under this contract relates to the experience cited by the Offeror in its present proposal. Address below any technical (or other) issues about this contract considered particularly relevant to the current solicitation.

F. Self-Assessment of past performance record. Provide information of any problems encountered and your corrective actions.

G. Current Status of Contract. Note the contract is continuing, completed, terminated, and its status

H. Primary customer points of contact. (For Government contracts/orders, provide current information on all three individuals. For commercial contracts, provide points of contact filling these same roles.)

1. Program Manager and/or

Site Manager

2. Procurement Contracting

Officer

3. Administrative

Contracting Officer

Name:

Office:

Address:

Telephone:

FAX #:

E-Mail: