Attachment 2_Past Performance Information (PPI) Sheet_24-R-0004.pdf
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- Attached to
- Ground Ambulance Services Federal contract opportunity
- Solicitation number
- W81K0024R0004
- Issued by
- Department of the Army Medical Command
About this file
This document is a template for offerors to submit past performance information on relevant previous federal contracts as part of their response to solicitation number W81K0024R0004 for ground ambulance services. Offerors are instructed to complete a separate Past Performance Information Sheet for each relevant previous contract, providing details on the contract value, period of performance, complexity of services, and primary points of contact. The solicitation is seeking ground ambulance services and is issued by the Department of the Army Medical Command. Offerors are to submit the completed past performance sheets in Volume II of their response by the response date specified in the solicitation.
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Text version
W81K00-24-R-0004
FOR OFFICIAL USE ONLY
Attachment 2
Past Performance Information (PPI) Sheet
Request the Offeror complete separate PPI Sheet for each relevant Task Order or Contract. PPI sheets are to be submitted in Volume II as one complete volume, not separate attachments for each project. See
ADDENDUM TO FAR 52.212-1, Volume II - Past Performance, of this solicitation for detailed instructions and limits on number of projects. Offeror is requested to provide frank, concise comments regarding present/past performance on the project identified in Paragraph B below.
If the Task Order or Contract being submitted is an ordering type contractual vehicle (for example, including but not limited to an Indefinite Delivery “D” type contract per FAR 16.5), only after issuance of a delivery/task order does performance occur. The Contract Number, Total Contract Dollar Value, Period of Performance, Type and Complexity of Services provided submitted here should be for the order the
Offeror has performed under this ordering type contractual vehicle.
NOTE: Past performance reference projects performed by a proposed teaming partner or a proposed subcontractor will only be considered if: (1) the Offeror submits at least one recent and relevant past performance project that the Offeror has performed, as a prime; (2) the teaming partner or subcontractor is identified as a teaming partner or subcontractor in the administrative volume of the proposal, and (3) the role and percentage of work proposed to be performed by the teaming partner or subcontractor on the proposed requirement is detailed in the proposal. Items (2) and (3) shall be identified in the administrative volume.
Offerors shall utilize this attachment to complete PPI submission.
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 UEI:
B. PROJECT TITLE and TASK/DELIVERY 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. TYPE/COMPLEXITIES OF SERVICES:
Include type and complexities of services provided for each contract/order. An Offeror who performed as a subcontractor shall identify the number/type of FTEs of its subcontract with the prime contractor.
I. BRIEF DESCRIPTION OF EFFORT:
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 Email
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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