Revised Attachment 10 Demonstrated Prior Experience Questionnaire_NMTS 102221.docx
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- Attached to
- National Medical Transport and Support Contract Federal contract opportunity
- Solicitation number
- 70FB7021R00000023
- Issued by
- Federal Emergency Management Agency
About this file
This document summarizes a solicitation for a multiple award indefinite delivery, indefinite quantity contract for national medical transportation and support services. The anticipated contract period is one base year and four option years. The solicitation seeks contractor-managed multi-functional transport and medical support resources and capabilities to support federal assistance, evacuations, or other medical support activations for national events. Offerors must provide demonstrated experience through references and descriptions of up to three relevant prior projects. The NAICS code is 621910 for ambulance services and the procurement is full and open with no set-asides. Proposals are due by specified dates in October 2021 to the Federal Emergency Management Agency contracting office.
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Text version
DEMONSTRATED PRIOR EXPERIENCE QUESTIONNAIRE
National Medical and Transportation Support Services Phase 1
Please complete the Demonstrated Prior Experience Questionnaire by providing the demographic and corporate experience information for your firm below. Offerors shall provide up to three (3) reference projects for ongoing projects or projects completed within the last three (3) years of the date of this RFP demonstrating relevant experience performing projects similar in size, scope, and complexity to this IDIQ contract. A project is considered a single contract or task/delivery/call order, or a collection of orders under a BPA or IDIQ contract. The Offeror’s response must provide a clear, specific, and concise description of your relevant corporate experience that provides Federal and Commercial experience. Extraneous narrative, elaborate brochures, public relations (PR) material, etc. shall not be submitted. One questionnaire per prime/sub team combined or contractor teaming agreement (CTA), please indicate which firm’s experience is being demonstrated. The Government will assess the collective experience in each Offeror’s submittal. The Demonstrated Prior Experience Questionnaire must be submitted to the Contracting Officer (CO) – Kimberly Coakley at Kimberly.Coakley@fema.dhs.gov and Felicia Castillo at felicia.castillo@fema.dhs.gov no later than 2:00 pm EDT, October 28, 2021. (Page limit is ten (10) pages using Times New Roman, font size 11.)
1. Firm Information, Contract number(s) and Reference Contact Information:
Name:
Address:
Name and Title of Representative:
Contract # and GSA Schedule # (if applicable):
Phone:
E-mail Address:
2. Labor Categories provided under projects:
3. If teaming with another firm(s), list their name(s) and address(es):
| Item |
| Firm 1 |
| Firm 2 |
| Firm 3 |
Firm Name:
Firm Address:
(NOTE: If more than three partners are proposed, add the remaining information on a separate sheet of paper, not to exceed the 10 page limit.)
| 4. Has this team worked together previously: | □ Yes | □ No (If yes, fill out table below) |
| Contract # (if applicable): |
Contract Period:
5. List up to three [3] projects which demonstrate the firm's or team's prior experience performing work similar to that required by the PWS using the format below:
| Item |
| Customer 1 |
| Customer 2 |
| Customer 3 |
Project Name and Location
Nature of the work performed
Customer Name and Address
The Firm’s Project Manager's Name and Phone Number
Period of Performance and Percentage Complete
Estimated or Final Value
Contract Type
6. Describe problems, failures, or data breaches that occurred during performance of the example and what actions were taken to mitigate/overcome them and ensure quality of performance.
7. Describe difficulties or constraints that occurred and what the company did to overcome them.
8. Describe challenges related to keeping software compliant with evolving cyber security requirements.
Submitted by (Print Name: First Last):
| ______________________________ | _________________ | |
| Signature | Date |
File details come from the government source that posted it. Updated .