ATCH 10 Contractor Past Performance Information

CONTRACTOR PAST PERFORMANCE INFORMATION (PPI)

(The Contractor will fill out one worksheet for each reference. A minimum of three (3) references are required. Please type or print clearly.)

CONTRACTOR SUBMITTING REFERENCE:

1. Reference Company/Division Name:

2. Reference Company Physical and Mailing Address (if different):

3. Reference Company Contact (POC):

Name & Title:

Phone Number:

Email:

4. Program/Project title for similar projects that have been completed within the last three (3) years:

ATCH 10 - Contractor Past Performance Information
PACA Special Program Audits

3 November 2026

5. Contract number/solicitation number for referenced project or program (as applicable): 6. Description of the contract/project effort (please include magnitude and level of complexity as compared to our project requirements):

7. Type of contract/project – list all that apply (e.g., Firm Fixed Price, Time and Materials, Cost Plus):

8. Period of performance:

a. Original schedule:

b. Current or actual schedule:

c. Number of project scope or requirements changes over the course of the contract, up to and including product/application sustainment:

d. Primary causes of changes:

9. Contract dollar value at time of selection/closing:

a. Original project dollar value:

b. Current or actual value at time of completion:

c. Number of times it was changed:
ATCH 10 - Contractor Past Performance Information
PACA Special Program Audits

3 November 2026

d. Primary causes of changes:

10. Current or actual contract value including all changes and exercise options:

11. Current or actual completion date, and if not complete, percentage of completion:

ATCH 10 - Contractor Past Performance Information
PACA Special Program Audits

3 November 2026