Attach 3_Past Performance Information (PPI) Sheet.docx
DOCX document 27 KB Posted
- Attached to
- Anesthesia Services Federal contract opportunity
- Solicitation number
- W81K00-24-R-0003
- Issued by
- Department of the Army Medical Command
About this file
This document is a template for a Past Performance Information Sheet to be completed by offerors responding to solicitation number W81K00-24-R-0003 for anesthesia services from the Department of the Army Medical Command. Offerors must provide a separate Past Performance Information Sheet for each relevant task order or contract, including the project title, role, contracting activity, contract type, total value, period of performance, staffing details, brief description, points of contact, issues, and additional information as applicable. Sections address key details such as original and current contract values and periods of performance. Problems are to be addressed with corrective actions taken.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment_W81K00-24-R-0003-0002-Anesthesia Services_WBAMC.pdf | ||
| Attach 6_PWS DRAFT_ANESTHESIA SERVICES-rev1Final 11-03-2023_09Nov.pdf | ||
| Amendment_W81K00-24-R-0003_P00001-Anesthesia Services_WBAMC.pdf | ||
| Attach 7_ WD_2015-5253.Rev21_21Dec12Jul2023.pdf | ||
| W81K00-24-R-0003-Anesthesia Services_WBAMC_03Nov2023.pdf | ||
| Attach 6_PWS_ANESTHESIA SERVICES- Final 11-03-2023.pdf | ||
| Attach 5_Pricing Worksheet_Anesthesia Services.xlsx | XLSX spreadsheet | |
| Attach 4_Past Performance Questionnaire (PPQ).docx | DOCX document | |
| Attach 2_Sample Compensation Plan.xlsx | XLSX spreadsheet | |
| Attach 1_Instructions to Offerors(ITO)_Evaluation Criteria.pdf |
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Text version
Attachment 3 W81K00-24-R-0003
Attachment 3 Past Performance Information (PPI) Sheet
The Offeror must complete separate PPI Sheets for each relevant Task Order or Contract. See ADDENDUM TO FAR 52.212-1, Volume II - Past Performance, of this solicitation for detailed instructions and limits on number of projects. Offeror must provide frank, concise comments regarding present/past performance on the project identified in Paragraph B below.
If the Offeror submits an ordering type contractual vehicle (for example, including but not limited to an Indefinite Delivery “D” type contract per FAR 16.5) where performance began only after issuance of a delivery/task order then the Offeror must provide the contract number, the delivery/task order number, the total contract dollar value, period of performance, type and complexity of services provided under that delivery/task order
Past Performance Information Sheet
(TO BE COMPLETED BY OFFEROR)
Blue text may be removed prior to submission Do Not Exceed 3 Pages
A. OFFEROR:
(1) Name (Company/Division):
(2) Address:
(3) CAGE and DUNS:
B. PROJECT TITLE and TASK ORDER/CONTRACT NUMBER:
Project Title and Task Order/Contract Number must be the same as the PPQs provides. If submitting ordering type contract: List the basic contract number and task order number for the project cited.
C. Role of the Offeror In Effort: |_| Prime Contractor 󠅈|_| Subcontractor Note that the information provided in the PPI Sheet shall reflect the role that the Offeror performed in the effort. An Offeror who performed as a subcontractor shall identify the contract type, dollar value, description, etc. of its subcontract with the prime contractor. Joint Ventures (JV) shall clearly identify which JV member the project corresponds to and identify the contract type, dollar value, description, etc.
D. NAME OF CONTRACTING ACTIVITY OR CUSTOMER:
E. CONTRACT TYPE(S) – CHECK ALL THAT APPLY
|_| Firm Fixed Price |_| Time and Materials
|_| Cost |_| Other (Explain):
F. TOTAL CONTRACT DOLLAR VALUE:
If you performed work as a subcontractor, identify your total contract dollar value and the PRIME’s total contract dollar value, if known. Describe any changes in dollar value that may have occurred from time of award to the conclusion of the effort or the present, whichever is applicable.
1. Original Total Task Order/Contract Dollar Value:
2. Current Total Task Order/Contact Dollar Value:
3. Explain the differences in Total Contract Value, if applicable:
Enter an explanation of the difference between the Original Total Task Order/Contract Dollar Value and the Current Total Task Order/Contract Dollar Value as of the time of proposal submission.
G. PERIOD OF PERFORMANCE:
1. Start Date: Input start date of contract/order.
2. Original End Date: Input original end date of contract/order.
3. Current End Date (if changed): Input end date, as the contract/order stands at time of proposal submission.
H. FTEs/TYPE/COMPLEXITIES OF SERVICES:
Include the number of FTEs, type and complexities of services provided for each contract/order.
I. BRIEF DESCRIPTION OF EFFORT:
1. As a part of this narrative description, highlight portions considered most relevant to the current requirement; addressing how and to what extent this project relates to the current requirement.
PLEASE NOTE: The Government is not bound by the Offeror's opinion of relevancy. The Government will perform an independent assessment of relevancy of the data provided or obtained.
J. PRIMARY POINTS OF CONTACT: The Offeror is responsible for exerting its best efforts to ensure that current information is provided for all individuals.
| Name and Office Symbol |
| Phone Number |
Procuring Contracting Officer
Program Manager
Administrative Contracting Officer
Other (Please Specify)
K. SUMMARY OF TASK ORDER/CONTRACT ISSUES:
Summarize contract issues relative to the number and severity of quality deficiencies recorded/contract discrepancy reports issued, termination for cause, disputes, claims, and/or corrective actions taken for this project.
L. ADDITIONAL INFORMATION (IF APPLICABLE):
Additionally, for those efforts where you are cognizant of unfavorable and/or marginal past performance ratings/reports previously assessed by customers or clients, but feel that significant progress has been made but not yet credited or formally documented, provide the program name, contract number, customer location and a narrative explaining "fixes" made to date, or any other information regarding the unfavorable/marginal assessment. This narrative portion is limited to one (1) additional page beyond the PPI sheet required page limitation. It is not presumed that performance has been perfect. Rather, the proposal should contain evidence of the Offeror's ability to isolate the root causes of problems and should describe actions taken to resolve those causes. Demonstrated corrective actions (not just planned or promised), and the overall work record will be considered. Problems not addressed, but found by the Government during the evaluation of the information in this volume, will be assumed to still exist. Note: If your input has already been provided in Contractor Performance Assessment Report System (CPARS) and the rationale/ circumstances have not changed, DO NOT repeat here.
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