Attachment 5 Past Performance and Experience.pdf
PDF 329 KB Posted
- Solicitation number
- 19GE5024R0067
About this file
The document provided is Attachment 6 - Contract Information Sheet / Experience Listing, which is part of a solicitation for Health Insurance for Locally Employed Staff at the U.S. Embassy in Paramaribo, Suriname. The solicitation number is 19GE5024R0067, and it is being issued by the Department of State Office of Acquisition Management. The contract will be an Indefinite Delivery Indefinite Quantity (IDIQ) contract with a base period of one year and four option years. The successful contractor must provide health insurance coverage to all locally employed staff at the U.S. Embassy in Paramaribo, Suriname. The solicitation is using Simplified Acquisition Procedures, and competition is full and open. The Attachment 6 form requires the offeror to provide details on 3-5 relevant past performance contracts, including the contract title, number, owner, contact information, role (prime or joint venture), contract amount, and start and completion dates. The offeror must also describe the services provided under each contract and demonstrate their relevance to the current solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| 19GE5024R0067 0002.pdf | ||
| Attachment 7 Claim report Retirees U.S. Embassy.pdf | ||
| 19GE5024R0067 0001.pdf | ||
| Attachment 6 Claims History ORE Staff (U.S. Embassy).pdf | ||
| 19GE5024R0067.pdf | ||
| Attachment 3 Form W-14 Instructions.pdf | ||
| Attachment 1 Price Proposal Breakdown.xlsx | XLSX spreadsheet | |
| Attachment 2 Form W-14.pdf | ||
| Attachment 4 Employee Statistics 2024.docx | DOCX document | |
| Pre-Solicitation Notice - 24R0067.pdf |
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Text version
Solicitation No. 19GE5024R0067 Attachment 6
CONTRACT INFORMATION SHEET / EXPERIENCE LISTING
Minimum 3 – maximum 5 contracts, 1 listing per contract
Section 3. Volume 2 Tab C - Experience and Past Performance
Offeror: ________________________________________________________________
(For Joint Venture Offeror) This project experience is being provided by
Name of firm
Contract Title:
Contact Location:
Contract number:
Owner of the project (to evaluate performance):
Phone number:
E-mail address:
Alternate point of contact (to evaluate performance):
Phone number:
E-mail address:
Role of the offeror on this contact (check one):
Prime Contractor joint Venture Partner
If Joint Venture, list other Joint Venture partner
If Joint Venture, state % of work that the offeror was responsible for %
Solicitation No. 19GE5024R0067 Attachment 6
Contract amount and currency at award: ______________________________________
Contract amount and currency at completion: __________________________________
(explain any difference in Contract description below)
Contract start date: _______________________________________________________
Original Contract completion date:
Actual Contract completion date: ____________________________________________ (explain any difference in Contract description below)
Describe Contract in detail, including services that are similar to the project covered in this solicitation. Include all aspects of the Contract that will demonstrate relevancy, as described in the solicitation.
File details come from the government source that posted it. Updated .