Past Performance Information Sheet.pdf

PAST PERFORMANCE INFORMATION FORM (PPIF)

Provide the information requested in this form for each present or past contract, purchase order, etc. which reflects relevant past performance information. Please provide a separate completed form for each. Attach a separate sheet if additional space is needed.

A. Offeror name:

CAGE Code:

DUNS Number:

(NOTE: If the company or division which performed or is performing the effort presented below is different from the current Offeror, note that fact in the space immediately below.)

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. Contract Price/Cost and Fee: $

7. Contractual completion date:

8. Actual, or if open estimated, completion date:

ATTACHMENT A

D. Description of Work:

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

ATTACHMENT A

F. Current Status of Contract (Choose One):

[ ] Work Continuing – On Schedule

[ ] Work Continuing – Behind Schedule

[ ] Work Completed – Litigation Pending or Underway

[ ] Work Completed – No Further Action Pending or Underway

[ ] Work Completed – Routine Administrative Action Pending or Underway

[ ] Work Completed – Claims Negotiations Pending or Underway

[ ] Terminated for Convenience

[ ] Terminated for Default

[ ] Other (Explain)

G. Primary customer points of contact.

1. Procurement Contracting

Officer

2. Administrative Contracting

Officer (if known)

3. Commercial equivalent to PCO if commercial

Name:

Office:

Telephone:

E-Mail:

H. Address below any technical (or other) issues about this contract considered relevant to the current solicitation.