Addenda 03- Past Performance Information Sheet.docx

DOCX document 19 KB Posted

Attached to
SOTM PARAMEDIC AND ASSSOCIATED TRAINING
Solicitation number
H92240-21-T-0003
Issued by

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Other files

File Type Posted
H92240-21-T-0003 0001.pdf PDF
Addenda 01 - Perf. Work Statement.pdf PDF
H92240-21-T-0003 .pdf PDF
Attach 01 - Third Party Clinical Agree Template.docx DOCX document
Addenda 04 - Question Sheet.xlsx XLSX spreadsheet
Addenda 02 - Pricing Sheet.xlsx XLSX spreadsheet

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Text version

Past Performance Information Sheet Attachment 02

TO BE COMPLETED BY THE OFFEROR AND SUBMITTED WITH VOLUME 4

OFFEROR’S COMPANY NAME

OFFEROR’S POINT OF CONTACT FOR PAST PERFORMANCE

CUSTOMER’S COMPANY NAME

CONTRACT NUMBER

CONTRACT TYPE (FIRM FIXED PRICE, COST REIMBURSABLE, ETC.)

PLACE OF PERFORMANCE

CONTRACT START DATE

CONTRACT END DATE

CONTRACT DOLLAR VALUE (per year/total)

OFFEROR’S ROLE (Prime/Subcontractor)

VALUE OF WORK SELF-PERFORMED

CONTRACTING OFFICER NAME, EMAIL

PROVIDE TWO POINTS OF CONTACT THAT CAN COMMENT ON THE QUALITY OF SERVICE

CUSTOMER POINT OF CONTACT #1

NAME

TITLE

COMM #
FAX #
DSN #

E-MAIL ADDRESS

CUSTOMER POINT OF CONTACT #2

NAME

TITLE

COMM #
FAX #
DSN #

E-MAIL ADDRESS

DESCRIPTION OF WORK PERFORMED

[Describe how the experience is relevant to this effort concerning scope (training similar to the courses required by the PWS) and magnitude (e.g., dollar amount). Clearly outline portions of work self-performed and portions of work subcontracted.]

COMMENTS / REMARKS

[Include information on problems encountered during performance of this contract, if any, and corrective actions taken]

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