Attachment A - PAST PERFORMANCE QUESTIONAIRE.docx
DOCX document 21 KB Posted
- Attached to
- Y1DA--652-21-102 Replace Nurse Call System Federal contract opportunity
- Solicitation number
- 36C24625B0010
About this file
The document is an Attachment B: Corporate Experience Form template for documenting past performance on federal contracts. The form requires offerors to provide details on 3-5 completed or in-progress contracts with a minimum value of $1,000,000, matching the solicitation's requirements for Technical Capability Sub-Factor 2 - Corporate Experience. For each contract, offerors must document comprehensive information including customer name, contact details, contract value, term, status, and a detailed scope of work description. The template is designed to allow potential contractors to demonstrate their relevant experience and capabilities when bidding on federal contract opportunities, with space for up to five separate contract examples to showcase corporate performance history.
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Text version
ATTACHMENT B: CORPORATE EXPERIENCE FORM
Please list your contracts in chronological order beginning with the most recent one. Offerors must provide a minimum of three (3) and a maximum of five (5) examples of their choice of completed projects or in progress of similar contracts in size and scope with a minimum threshold value exceeding $1,000,000. See Technical Capability Sub-Factor 2 – Corporate Experience for all required information to be included.
Contract #1
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status ___Ongoing ___Completed
10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
Contract #2
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
Contract #3
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
Contract #4
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
Contract #5
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
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