RFP Attachment 2 - Past Performance Information Sheet (PPIS).docx

RFP Attachment 2 - PAST PERFORMANCE INFORMATION SHEET (PPIS)

Provide the information requested in this form for each Past Performance Reference as required by L.9. Provide frank, concise comments regarding performance on the reference you identify. Provide a separate completed form for each reference submitted. Submit the forms as part of the Past Performance Volume.

A. Offeror Name (Company/Division):

*Please identify if you are a teaming member or subcontractor with the prime

Cage Code:

DUNS Number:

(NOTE: If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes below. Refer to the "Organizational Structure Change History" you provided as part of your Past Performance Volume).

B. Program Title:

C. Contract Specifics:

1. Contracting Agency or Customer:

2. Citation Number:

3. Contract Type:

4. Period of Performance:

5. Original Contract $ Value (Do not include unexercised options):

6. Current Contract $ Value (Do not include unexercised options):

7. If the amounts for 5 and 6 above are different, provide a brief description of the reason below.

Source Selection Information – See FAR 2.101 and 3.104

RFP Attachment 2 - 1605C5-21-R-00001

8. Original completion date:

9. Current scheduled completion date:

10. Estimated completion date:

11. Number of contract changes:

12. Enter primary cause for contract changes below:

D. Enter below a brief description of effort as Prime or Subcontractor.

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

Name

Office

Address

Telephone

E-Mail

F. Address below any technical (or other) area about this citation considered unique.

G. Describe the relevancy per the definitions of relevancy table in section M.3.