C5.Attachment 3 - Past Performance Information Form rev1.docx

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Attached to
N0001426R4005
Solicitation number
N0001426R4005
Issued by

About this file

This is a Past Performance Information Form (PPIF) template required for submission in response to ONR solicitation N0001426R4005 for Research Protections Division (Code 343) and Department of the Navy Human Research Protection Program (DON HRPP) Support Services.

The form requires offerors to provide detailed information for each present or past contract demonstrating relevant experience. Specifically, offerors must identify the current company, CAGE code, and unique entity identifier, then document contract specifics including customer name and address, contract number, contract type, period of performance, initial and final contract values, completion dates, and prime or subcontractor role. The form mandates identification of three primary customer points of contact: the Program Manager/Contracting Officer's Representative, Procurement Contracting Officer, and Administrative Contracting Officer, with complete contact information including name, office, address, telephone, fax, and email. Additionally, offerors must provide a detailed description of relevant work performed, including a summary of the work statement and effort; documentation of how the contract magnitude, period of performance, and dollar values correlate to the government's requirements; express correlation of all Performance Work Statement (PWS) tasks performed in the example to the proposed requirement, marking "No Comparable Task" where applicable; assessment of complexity comparison to proposed PWS tasks; identification of key and non-key personnel who performed on the example contract and are also proposed for the requirement; and documentation of any staffing turnover experienced and how vacancies were filled. Offerors must submit a separate completed form for each contract identified, with additional sheets attached as needed.

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N0001426R4005, Attachment 3 rev1

Office of Naval Research (ONR) Research Protections Division (Code 343) and the Department of the Navy Human Research Protection Program (DON HRPP) Support Services Past Performance Information Form

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:

Unique Entity Identifier Number:

B. Program Title:

C. Contract Specifics:

1. Complete Name of Customer:

2. Customer Address and Telephone #:

3. Contract Number (include Task Order)

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:

10. What is your role on this effort?

(Prime or Sub)

D. 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 COR
2. Procurement Contracting Officer
3. Administrative Contracting Officer

Name:

Office:

Address:

Telephone:

FAX #:

E-Mail:

E. Description of Relevant Work as Prime or Subcontractor (reference Phase I Relevancy Evaluation in Section L and M of the RFP) as it pertains to the solicitation Performance Work Statement.

(1) Summarize the contract/task order work statement and effort performed for this example.

(2) Offerors shall document how the magnitude of the example compares to the Government’s requirement as noted in the solicitation. This should be expressed to correlation the example Periods of Performance and the Dollar Values to the Governments requirement.

(3) Offerors shall expressly correlate how the example tasks compare to the PWS tasks to be performed. On this form, Offerors shall:

Enter each PWS task;

State how the submitted example includes a task which is comparable;

If the submitted example does not compare to the PWS tasks, the offeror shall document this by annotating No Comparable Task. ; and, PWS Task 1 (ENTER TASK FROM THE PWS)

Identify how the example submitted is comparable this task.

If the example does not have a comparable task, the Offeror shall state – No Comparable Task.

(4) Offeror’s shall correlate how the example compares to the PWS tasks regarding complexity.

(5) Identify any/all key and/or non key personnel who performed on this example that is also proposed under this requirement.

(6) Identify staffing turn over, if any, experienced on this requirement and how the vacancies were filled.

File details come from the government source that posted it. Updated .