Attachment1PPI.pdf

W9124J-12-R-0017 Attachment 1

PAST PERFORMANCE INFORMATION SHEET

The Offeror shall provide documentation outlining the Offeror’s past performance with contracts, as a prime or major subcontractor, which is the same or similar in nature, size, and complexity to the services being procured under this Solicitation. The submittal shall include rationale supporting your assertion of relevance and how it was determined that the work performed previously was the same or similar in nature, size, and complexity to the work specified by this solicitation. Offerors are required to explain what aspects of the contracts are deemed relevant to the proposed effort, and to what aspects of the proposed effort they relate.

Complete Company Name, Reference Number, DUNS, and CAGE Code

1. Contract Role – Circle the role

2. Project Name

3. Contract Number, Award Date and Contract type.

4. Delivery Schedule – original AND final (or projected final, if the contract is current).

5. Price– original awarded AND final (or price to date, if contract is current).

6. Contact Information - Address and telephone number for the Government (or commercial), procuring contracting activity AND contract administrative activity (if applicable).

7. Relevancy Description - Identify in specific detail for each contract listed, why or how you consider that effort relevant or similar to the effort required by this solicitation.

8. Narrative Project Description – Provide an overview of the project, major construction trades involved, effective project management/management of subcontractors, etc. Discuss reasons for any cost growth or schedule delays encountered. For any Government contracts which did not/do not meet original requirements with regard to cost, schedule, or technical performance, a brief explanation of the reason(s) for such shortcomings and any demonstrated corrective actions taken to avoid recurrence.

9. Adverse Performance Documentation. A copy of any cure notices, show cause letters or contract discrepancy reports received on each contract listed and a description of any corrective action by the offeror or proposed subcontractor.

THIS COVER SHEET MAY BE REMOVED & NOT COUNTED AGAINST THE

PAGE LIMITATION

Company Name _________________________________ Reference # _______

DUNS Number ______________________ CAGE Code _____________

1. Role in this contract (circle one): Prime Contractor Subcontractor

2. Project Name: _______________________________________________________________

3. Contract Number: _____________________________

Award Date: __________________________________

Contract type: _________________________________

4. Completion Date/Delivery Schedule.

Original completion date: __________________________________________________

Final/Projected Final Completion Date: _______________________________________

5. Price.

Original awarded price: _______________________________________________

Final/Price to Date (if incomplete): ______________________________________

6. Contact Information:

Procuring Contracting Officer (PCO) Name: ____________________________________

Phone Number: _______________________________________________________

E-Mail Address: ______________________________________________________

Administrative Contracting Officer (ACO) Name: ________________________________

Phone Number: _______________________________________________________

E-Mail Address: ______________________________________________________

Government/Commercial Technical Representative Name: __________________________

Phone Number: _______________________________________________________

E-Mail Address: _______________________________________________________

7. Relevancy Description.

8. Narrative Project Description.

9. Adverse Performance Documentation (as applicable).