Attachment_21a_-_PPI_Part_1.pdf

ATTACHMENT # Solicitation #

Page 1 of 2 As of: 10.24.2011

Once this document has been completed, the information contained becomes Source Selection Sensitive in accordance with FAR

2.101 and 3.104.

PAST PERFORMANCE INFORMATION (PPI) COLLECTION DOCUMENT – PART 1

INSTRUCTIONS TO OFFERORS

The offeror is solely responsible for ensuring all required Past Performance Information (PPI) Collection documents are completed and received by the Government by the solicitation closing time and date.

This document shall be completed by the offeror and submitted with the proposal as a mandatory part of Volume II.

Please read the entire document carefully.

OFFEROR TO COMPLETE:

Offeror Firm Name: _________________________________________________________ Offeror Firm Address: ______________________________________________________ Offeror Firm DUNS: ___________________________ CAGE: _____________________________ Offeror Firm Email: _______________________________ Phone: ___________________ Fax: ___________________

1. Check below all types (offeror, Principal Subcontractor, Key Personnel) of current, relevant PPI being submitted as part of your proposal for this solicitation:

_____ Offeror _____ Check here if your firm has no record of current, relevant past performance

_____ Principal Subcontractor Firm’s name:

_____ Key Personnel Name(s):

2. If you are submitting PP references for your firm, the following are required:

• You complete PPI Collection Document - PART 3 and submit as part of Volume II with your proposal

• You complete PPI Collection Document - PART 4A, Section 1, and then forward PART 4A to each of your PP references and request that:

o They complete Sections 2, 3a. and 3b. and submit all (Sections 1, 2, 3a. and 3b.) to the Government in accordance with the submission instructions in PART 4A, Section 1

AND/OR

3. If you are submitting PP references for your Principal Subcontractor, the following are required: (NOTE: Your firm may be a reference for the Principal Subcontractor if the subcontractor has current relevant past performance with your firm)

• You complete PPI Collection Document – PART 2, Section 1, and submit as part of Volume II with your proposal

• You forward PPI Collection Document - PART 3 to your Principal Subcontractor and request that:

o They complete PART 3 and submit with PART 5 (see below) to the Government in accordance with the submission instructions in PART 5, Section 1

• You forward PPI Collection Document - PART 4B to your Principal Subcontractor and request that:

o They complete Section 1 and then forward PART 4B to each of their PP references with the request that:

They complete Sections 2, 3a. and 3b. and submit all (Sections 1, 2, 3a. and 3b.) to the Government in accordance with the submission instructions in PART 4B, Section 1

• You complete PPI Collection Document – PART 5, Section 1, and then forward PART 5 to your Principal Subcontractor with the request that:

ATTACHMENT # Solicitation #

Page 2 of 2 As of: 10.24.2011

Once this document has been completed, the information contained becomes Source Selection Sensitive in accordance with FAR

2.101 and 3.104.

o They complete Section 2 and submit all (Sections 1 and 2), along with PART 3 (see above), to the Government in accordance with the submission instructions in PART 5, Section 1

AND/OR

4. If you are submitting PP references for your Key Personnel, the following are required:

• You complete PPI Collection Document – PART 2, Section 2, and submit as part of Volume II with your proposal

• You forward PPI Collection Document – PART 3 to each of your Key Personnel and request that:

o They complete PART 3 and submit to the Government in accordance with the submission instructions in PART 4C, Section 1 (see below)

• You forward PPI Collection Document - PART 4C to each of your Key Personnel and request that they:

o Complete a separate PART 4C, Sections 1 and 2, for each PP reference and then forward the pertinent

PART 4C to the applicable PP reference with the request that:

They complete Sections 3a., 3b. and 3c., and submit all (Sections 1, 2, 3a., 3b. and 3c.) to the

Government in accordance with the submission instructions in PART 4C, Section 1

(Signature of Individual Authorized to Sign for the Offeror firm) (Date)

(Signature block of individual authorized to sign for the Offeror firm)