Attachment D - Relevant Experience Template.pdf
PDF 97 KB Posted
- Solicitation number
- 15F06721R0000112
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| Attachment A.1 - SF-30.pdf | ||
| Questions and Answers FINAL RFP .xlsx | XLSX spreadsheet | |
| Attachment A - SF-1449.pdf | ||
| Draft RFP_Questions and Answers FINAL.xlsx | XLSX spreadsheet | |
| Attachment C - EPW.xlsx | XLSX spreadsheet | |
| PSP_RFP15F06721R0000112_Final .pdf | ||
| Attachment E - Past Performance Questionnarie (PPQ).pdf | ||
| Attachment B - Statement of Work .pdf | ||
| Attachment B_Statement of Work.pdf | ||
| Attachment C_EPW.xlsx | XLSX spreadsheet | |
| Attachment D_Relevant Experience Template.pdf | ||
| Attachment E_ Past Performance Questionnarie (PPQ).pdf | ||
| Draft_RFP_Release_-_3.12.21[1].pdf | ||
| Attachment A_SF1449.pdf |
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Text version
1 Source Selection Information - See FAR 2.101 and 3.104
RELEVANT EXPERIENCE TEMPLATE
This template may be modified to account for information that exceeds the amount of space provided.
However, the format must remain as provided and each relevant experience citation (contract / task order) may not exceed two pages. Use a separate template for each of the three contracts / task orders.
1. FEDERAL AGENCY / PROGRAM
NAME:
2. CONTRACT / TASK ORDER NUMBER:
3. ROLE
(PRIME OR SUBCONTRACTOR):
4. GEOGRAPHIC LOCATION(S) OF PERFORMED CONTRACT WORK:
5. DATE OF AWARD: 6. PERIOD OF PERFORMANCE:
7. CUSTOMER POINTS OF CONTACT (POC)
(PROVIDE NAMES, ADDRESSES, TELEPHONE NUMBERS, AND EMAIL ADDRESS FOR EACH POC BELOW)
A. PROGRAM MANAGER:
B. CONTRACTING OFFICER:
C. COR / TASK MONITOR:
8. CONTRACT / TASK ORDER INFORMATION
A. CONTRACT TYPE
(E.G., T&M, FFP):
B. IF THE CONTRACT / TASK ORDER
HAS BEEN COMPLETED, PROVIDE THE
PROGRAM PRICE / COST:
(1) DOLLAR AMOUNT AT AWARD:
(2) DOLLAR AMOUNT AT
COMPLETION:
C. IF THE CONTRACT HAS NOT BEEN
COMPLETED:
(1) CURRENT PRICE / COST:
(2) CURRENT ESTIMATE TO
COMPLETE:
2 Source Selection Information - See FAR 2.101 and 3.104
9. PROJECT SCOPE AND COMPLEXITY
(DESCRIBE HOW THIS PROJECT IS SIMILAR IN SCOPE AND COMPLEXITY AND RELEVANT TO THE TASKS DELINEATED IN THE
RFP TO SPECIFICALLY INCLUDE SCOPE OF WORK AND PRACTICE STATED IN THE STATEMENT OF WORK)
10. QUALITY CONTROL ACTIVITIES
(PROVIDE ANY QUALITY CONTROL ACTIVITIES THAT WERE SUCCESSFULLY PERFORMED AS THEY RELATE TO PRE-EMPLOYMENT
ASSESSMENTS AND QUALITY OF CARE PROVIDED)
11. MANAGEMENT OF CREDENTIALED PROVIDERS AND PERSONNEL
(DESCRIBE HOW THE CONTRACTOR WAS ABLE TO SUCCESSFULLY MANAGE MULTIPLE LOCATIONS OF PROVIDERS WITH MINIMAL
DISRUPTION)
12. ISSUES ENCOUNTERED
(DESCRIBE ANY ADVERSE PERFORMANCE ISSUES ENCOUNTERED DURING THE PERFORMANCE PERIOD AND THE REMEDIAL ACTIONS TAKEN
TO CORRECT THE ISSUES)
13. ADDITIONAL COMMENTS
(PROVIDE ANY ADDITIONAL COMMENTS / INFORMATION CONTRACT DEEMS RELEVANT TO PAST PERFORMANCE
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