Attach 3-Past Performance List of References.pdf
PDF 524 KB Posted
- Solicitation number
- FA301021R0011
About this file
This document contains an attachment requesting past performance references from offerors as well as details of the federal contract opportunity. The attachment requests a list of up to three past performance references for similar clinical registered nurse staffing contracts. For each reference, offerors must provide the contract number, description of work performed as a prime or subcontractor including staffing details, period of performance, contracting agency point of contact information, and contract values including total, annual amounts, and period of performance for annual amounts. Offerors must also indicate if the reference involves work performed by a proposed subcontractor, affiliate, or joint venture. The federal contract opportunity seeks proposals to provide eleven full-time equivalent clinical registered nurses across ten medical specialties at Keesler Medical Center, Keesler Air Force Base, for an indefinite delivery, indefinite quantity contract.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment 3-List of References Solicitation #: FA301021R0011 11 FTE Clinical Registered Nurses
Emergency Services (1 FTE), Endocrinology (1 FTE), Endoscopy (1 FTE), Family Health (2 FTEs), Hematology/Oncology (1 FTE), Internal Medicine (1 FTE), Pediatrics (1 FTE), Pulmonology (1 FTE), Rheumatology (1 FTE), and Women’s Health (1 FTE)
PAST PERFORMANCE LIST OF REFERENCES
Company Name:________________________________
CONTRACT NUMBER
(include task order number(s) if applicable) Identify if CPAR is available.
If so, no PPQ is required.
DESCRIPTION OF WORK PERFORMED
(performed as a prime/sub-contractor, details i.e.
number of FTE, position type, full-time or session-based, %performed, etc. )
CONTRACT
PERIOD OF
PERFORMANCE
(POP)
CONTRACTING AGENCY
POC/CUSTOMER NAME, PHONE #
CONTRACT VALUES
(include total contract amount, annual amount and POP for annual amount)
PERFORMED BY A
PROPOSED
SUBCONTRACTOR,
AFFILIATE, OR
JOINT VENTURE?
(If yes, please complete Page 2)
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
Attachment 3-List of References Solicitation # FA301021R0011
11 FTE Clinical Registered Nurses Emergency Services (1 FTE), Endocrinology (1 FTE), Endoscopy (1 FTE), Family Health (2 FTEs), Hematology/Oncology (1 FTE), Internal Medicine (1 FTE), Pediatrics (1 FTE), Pulmonology (1 FTE), Rheumatology (1 FTE), and Women’s Health (1 FTE)
CONTRACT NUMBER
(include task order number(s) if applicable)
SUBCONTRACTOR,
AFFILIATE, OR
JOINT VENTURE
DESCRIBE FUNCTION/TASK/3RD PARTY AFFECT ON PERFORMANCE
1. If proposing to use a Subcontractor, Affiliate, or Joint Venture for this effort, include percentage of work, splitting of cost, type of services i.e. accounting, recruiting, etc they will perform for this effort (provide information below)
2. If contractor proposing on this effort provided past performance they performed as a Subcontractor, Affiliate, or Joint Venture, include percentage of work, splitting of cost, type of services performed, i.e. accounting, recruiting, etc for that effort (provide information below)
1.
2.
1.
2.
1.
2.
File details come from the government source that posted it. Updated .