PPIS.docx

Past Performance Information Sheet (PPIS) Instructions

1. Provide the information requested in this form for each contract reference.

2. Provide concise comments regarding your performance on the contracts you identify.

3. Save as a PDF and submit to CO/CS.

A. Company Information Quoter / Company Name:

Address:

Phone Number:

Email:

CAGE Code:

DUNS Number:

B. Contract Specifics Contract Title:

Contract Number:

Task Order Number (if applicable):

Date of Award:

Contracting Agency or Customer:

Contract Type (FFP, T&M, CPFF, etc.):

Single Contract or IDIQ/BPA:

Period of Performance:

Contract Value:

C. Brief Description of Effort: Briefly describe the scope of effort of the contract and highlight portions considered most relevant to this procurement.

Performed as ☐ Prime or ☐ Subcontractor.

If you performed as a Subcontractor, provide Prime Contractor’s information. If you were the Prime Contractor, enter “N/A” into the response fields for this section.

Prime Contractor’s Name:

Address:

Phone Number:

Email:

D. Place of Performance (check all that apply) ☐ - Single Location ☐ - Multiple Locations Indicate the location(s) where performance took place.

E. Major Accomplishments: Describe any major accomplishments or recognition received for superior performance.

F. Issues Encountered: Describe any adverse performance issues encountered during the performance period and the remedial actions taken to correct the issues.

G. Additional Comments

H. Points of Contact: Provide two (2) points of contact who are most knowledgeable of the submitted contract. Points of contact may include Program Manager (PM), Project / Task Manager, Procuring Contracting Officer (PCO), Administering Contracting Officer (ACO), and Contracting Officer’s Representative (COR), or the commercial equivalents of these positions.

Name:

Position (PM, PCO, COR, etc.):

Address:

Telephone:

Email:

Name:

Position (PM, PCO, COR, etc.):

Address:

Telephone:

Email: