Attachment_J.2_-_Past_Performance_Information.docx

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End-line Performance Evaluation
Solicitation number
SOL-663-16-000026
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Past Performance Information Form

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8/28/2014 V1

Past Performance Information (PPI)

{Include this appendix if Past Performance is evaluated.}

{Below is an example of PPI request form for inclusion in the solicitation’s instructions to offerors to simplify the submission and evaluation of PPI}. The form is not required if the below information is available in the Government past performance systems.

(To be completed by the offeror)

1. Contract Number:

2. Contractor (Name and Address):

3. Type of Contract: Negotiated Sealed Bid Fixed Price Cost Reimbursement _____ Hybrid (explain) _______________________

4. Complexity of Work: Difficult Routine

5. Description, location, and relevancy of work:

6. Contract Dollar Value: Status: Active Completed

7.Date of Award:
Contract Completion Date (including extensions):_____

8. Type and Extent of Subcontracting:

9. Name, Address, Telephone Number, and E-mail Address of the Procuring Contracting Officer and/or the Contracting Officer ’s Representative (and other references—e.g., Administrative Contracting Officer —if applicable):

Source Selection Information - See FAR 2.101 and 3.104

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