Attachment 1_Past Performance Information (PPI) Sheet_12 November 2020.docx
DOCX document 27 KB Posted
- Attached to
- EMERGENCY MEDICINE PHYSICIANS Federal contract opportunity
- Solicitation number
- W81K00-21-R-3005
- Issued by
- Department of the Army Medical Command
About this file
This document includes a past performance information sheet template and details of a federal contract opportunity. The past performance information sheet is a template for offerors to provide details of relevant past or present contracts for evaluation. The federal contract opportunity is a solicitation from the Department of the Army Medical Command to obtain services of seven full-time emergency medicine physicians in support of Evans Army Community Hospital's emergency department in Fort Carson, Colorado. The requirement is set aside entirely for 8(a) certified small businesses. The contract will be firm-fixed price with a one year base period from April 1, 2021 through March 31, 2022 and four additional one-year option periods. Questions are due by November 17, 2020 and answers will be posted on FedBizOpps.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Offerors Questions_Answers_20 November 2020.pdf | ||
| Amendment 1_W81K00-21-R-3005_20 November 2020.pdf | ||
| Revised_Instructions to Offerors_Evaluation Criteria_20 November 2020.pdf | ||
| Attachment 4_Pricing Worksheet_12 November 2020.xlsx | XLSX spreadsheet | |
| Instructions to Offerors_Evaluation Criteria_12 November 2020.pdf | ||
| Attachment 2_Past Performance Questionnaire_12 November 2020.docx | DOCX document | |
| Attachment 3_Compensation Plan_12 November 2020.xlsx | XLSX spreadsheet | |
| Attachment 5_Frequently Asked Questions.pdf | ||
| W81K00-21-R-3005_Emergency Medicine Physicians EACH.pdf |
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Text version
Attachment 1 W81K00-21-R-3005 12 November 2020 Past Performance Information (PPI) Sheet
Request the Offeror complete separate PPI Sheets for each relevant Task Order or Contract. See ADDENDUM TO FAR 52.212-1, Section II - Past Performance, of this solicitation for detailed instructions and limits on number of projects. Offeror is requested to provide frank, concise comments regarding present/past performance on the project identified in Paragraph B below.
If the Task Order or Contract being submitted is an ordering type contractual vehicle (for example, including but not limited to an Indefinite Delivery “D” type contract per FAR 16.5), only after issuance of a delivery/task order does performance occur. The Contract Number, Total Contract Dollar Value, Period of Performance, Type and Complexity of Services provided submitted here should be for the order or series of orders, the Offeror has performed under this ordering type contractual vehicle.
Past Performance Information Sheet
(TO BE COMPLETED BY OFFEROR)
Blue text may be removed prior to submission Do Not Exceed 3 Pages
A. OFFEROR:
(1) Name (Company/Division):
(2) Address:
(3) CAGE and DUNS:
B. PROJECT TITLE and TASK ORDER/CONTRACT NUMBER:
Project Title and Task Order/Contract Number must be the same as the PPQs provides. If submitting ordering type contract: List the basic contract number and each order number.
C. Role of the Offeror In Effort: |_| Prime Contractor 󠅈|_| Subcontractor Note that the information provided in the PPI Sheet shall reflect the role that the Offeror performed in the effort, i.e., an Offeror who performed as a subcontractor shall identify the contract type, dollar value, description, etc. of its subcontract with the prime contractor.
D. NAME OF CONTRACTING ACTIVITY OR CUSTOMER:
E. CONTRACT TYPE(S) – CHECK ALL THAT APPLY
|_| Firm Fixed Price |_| Time and Materials
|_| Cost |_| Other (Explain):
F. TOTAL CONTRACT DOLLAR VALUE:
If you performed work as a subcontractor, identify your total contract dollar value and the PRIME’s total contract dollar value, if known. Describe any changes in dollar value that may have occurred from time of award to the conclusion of the effort or the present, whichever is applicable. If submitting an ordering type contract, list the original and current total contract dollar values for each order.
1. Original Total Task Order/Contract Dollar Value:
If submitting ordering type contract: List the original total contract dollar value for each order.
2. Current Total Task Order/Contact Dollar Value:
If submitting ordering type contract: List the current total contract dollar value for each order.
3. Explain the differences in Total Contract Value, if applicable:
Enter an explanation of the difference between the Original Total Task Order/Contract Dollar Value and the Current Total Task Order/Contract Dollar Value as of the time of proposal submission.
G. PERIOD OF PERFORMANCE:
Includes start and end dates, i.e. Jan 2014 – Dec 2017. If submitting an ordering type contract, the “Period of Performance” submitted here should be for the order, the Offeror has performed under this ordering type contractual vehicle. The Offeror shall submit the “Start Date” for the individual order. The Offeror shall submit the “Original End Date” for the individual order. If the “End Date” on the individual order has changed, these changes would need to be reflected in the “Current End Date” Section below.
1. Start Date: Input start date of contract/order.
2. Original End Date: Input original end date of contract/order.
3. Current End Date (if changed): Input end date, as the contract/order stands at time of proposal submission.
H. TYPE/COMPLEXITIES OF SERVICES:
Include the number of FTEs, type and complexities of services provided for each contract/order.
I. BRIEF DESCRIPTION OF EFFORT:
1. As a part of this narrative description, highlight portions considered most relevant to the current requirement; addressing how and to what extent this project relates to the current requirement.
2. This paragraph shall also include details to support the Offeror’s record for providing continuity of services and meeting staffing needs.
PLEASE NOTE: The Government is not bound by the Offeror's opinion of relevancy. The Government will perform an independent assessment of relevancy of the data provided or obtained.
J. PRIMARY POINTS OF CONTACT: The Offeror is responsible for exerting its best efforts to ensure that current information is provided for all individuals.
| Name and Office Symbol |
| Phone Number |
Procuring Contracting Officer
Program Manager
Administrative Contracting Officer
Other (Please Specify)
K. SUMMARY OF TASK ORDER/CONTRACT ISSUES:
Summarize contract issues relative to the number and severity of quality deficiencies recorded/contract discrepancy reports issued, termination for cause, disputes, claims, and/or corrective actions taken for this project.
L. ADDITIONAL INFORMATION (IF APPLICABLE):
Additionally, for those efforts where you are cognizant of unfavorable and/or marginal past performance ratings/reports previously assessed by customers or clients, but feel that significant progress has been made but not yet credited or formally documented, provide the program name, contract number, customer location and a narrative explaining "fixes" made to date, or any other information regarding the unfavorable/marginal assessment. This narrative portion is limited to one (1) additional page beyond the PPI sheet required page limitation. It is not presumed that performance has been perfect. Rather, the proposal should contain evidence of the Offeror's ability to isolate the root causes of problems and should describe actions taken to resolve those causes. Demonstrated corrective actions (not just planned or promised), and the overall work record will be considered. Problems not addressed, but found by the Government during the evaluation of the information in this volume, will be assumed to still exist. Note: If your input has already been provided in Contractor Performance Assessment Report System (CPARS) and the rationale/ circumstances have not changed, DO NOT repeat here.
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