Attachment_21c_-_PPI_Part_3.pdf

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Attached to
Hazardous Waste Services in Rheinland Pfalz
Solicitation number
SP4520-17-R-0001
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ATTACHMENT 21C PPI PART 3

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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 3

LIST OF PAST PERFORMANCE (PP) REFERENCES

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.

Each entity (offeror/Principal Subcontractor/Key Personnel) submitting PPI as part of the proposal for this requirement must complete a PART 3 document and submit in accordance with PART 1. REMINDER: PPI must be current within three years.

PPI ENTITY TO COMPLETE:

Name of offeror firm:

Check and identify your PPI entity for which the list of PP references below is applicable: (check only one)

Offeror: _____

Principal Subcontractor: _____ Firm:

Key Personnel: _____ Name:

PP Reference 1.

Firm/Agency Name:

Contract #, Title and Performance Location or Job Title and Position:

Please explain why this contract or employment history is considered relevant to the current requirement:

Problem(s) encountered on the contract or on the job:

Action(s) taken to correct the problem(s):

PP Reference 2.

Contract #, Title and Performance Location or Job Title and Position:

Please explain why this contract or employment history is considered relevant to the current requirement:

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.

PP Reference 3.

Firm/Agency Name:

Contract #, Title and Performance Location or Job Title and Position:

Please explain why this contract or employment history is considered relevant to the current requirement:

PP Reference 4.

Contract #, Title and Performance Location or Job Title and Position:

Please explain why this contract or employment history is considered relevant to the current requirement:

PP Reference 5.

Contract #, Title and Performance Location or Job Title and Position:

Please explain why this contract or employment history is considered relevant to the current requirement:

PPI ENTITY TO COMPLETE:
Firm:
Name:
FirmAgency Name:
Contract Title and Performance Location or Job Title and Position:
Please explain why this contract or employment history is considered relevant to the current requirement 1:
Problems encountered on the contract or on the job 1:
Actions taken to correct the problems 1:
FirmAgency Name_2:
Contract Title and Performance Location or Job Title and Position_2:
Please explain why this contract or employment history is considered relevant to the current requirement 1_2:
Problems encountered on the contract or on the job 1_2:
Actions taken to correct the problems 1_2:
FirmAgency Name_3:
Contract Title and Performance Location or Job Title and Position_3:
Please explain why this contract or employment history is considered relevant to the current requirement 1_3:
Problems encountered on the contract or on the job 1_3:
Actions taken to correct the problems 1_3:
FirmAgency Name_4:
Contract Title and Performance Location or Job Title and Position_4:
Please explain why this contract or employment history is considered relevant to the current requirement 1_4:
Problems encountered on the contract or on the job 1_4:
Actions taken to correct the problems 1_4:
FirmAgency Name_5:
Contract Title and Performance Location or Job Title and Position_5:
Please explain why this contract or employment history is considered relevant to the current requirement 1_5:
Problems encountered on the contract or on the job 1_5:
Actions taken to correct the problems 1_5:
Check Box1: Off
Check Box2: Off
Check Box3: Off
Text4: 21c
Text5: SP4520-17-R-0001

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