Attachment_VI_-_PPIS.docx

Past Performance Information Sheet

Offeror Name:

Contract Information

Contract Number:

Task Order Number (if applicable):

Name of prime Contractor:

(if different than Offeror name above)

Name of Contractor Performing the Work:

(if different than prime Contractor)

Contract Type (personal services/non-personal services):

Total Dollar Value (including all options):

Agency/Organization

Agency/Organization Name:

Agency/Organization Address:

Name of Point of Contact:

Telephone Number:

Email Address:

Performance Specifics

Period of Performance (must be within past three years):

Location(s) where Services were provided:

Labor Categories Contractor Staffed.

Total Number of FTEs per Year:

What were most positive aspects in the performance of the contract?

What were the most negative aspects in the performance of the contract, and how were they mitigated?