ATTACHMENT 1 - Past Performance Questionnaire RFP 75H70423R00001.pdf

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Multiple Services - Division of Diabetes Treatment and Prevention
Solicitation number
75H70423R00001
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This document includes a past performance questionnaire template and details of a related federal contract opportunity with the Indian Health Service. The past performance questionnaire is to be completed by clients of offerors and returned to the IHS by October 26, 2022 to assess performance on prior contracts. The related federal contract opportunity is for multiple professional services to support the Division of Diabetes Treatment and Prevention, including coordinating national projects and meetings, reviewing and assisting clinical and public health programs for American Indian/Alaska Native communities, translating diabetes research, disseminating information and resources, and project management. The indefinite delivery, indefinite quantity contract has no defined period of performance or pricing terms listed. Services are to directly support programmatic work regarding diabetes prevention and treatment programs for federally recognized tribes.

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Other files

File Type Posted
RFP Vendor Q and A - Solicitation 75H70423R00001 - IHS Response.pdf PDF
Indian Health Service - RFP 75H70423R00001 DDPT Multiple Services (Updated 10-22-2022).pdf PDF
ATTACHMENT 6 - MSC PWS RFP 75H70423R00001.pdf PDF
ATTACHMENT 4 - Buy Indian Vendor Self-Certification (IHS IEE Representation) Form.pdf PDF
ATTACHMENT 2 - Pricing Sheet RFP 75H70423R00001.pdf PDF
ATTACHMENT 3 - Combined NDA.OCI, IHS DDTP Multiple Services Requirement.pdf PDF
Indian Health Service - RFP 75H70423R00001 DDPT Multiple Services.pdf PDF
ATTACHMENT 5 - Contractor Responsibility Provisions RFP 75H70423R00001.pdf PDF

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ATTACHMENT 1

RFP # 75H70423R00001

PAST PERFORMANCE QUESTIONNAIRE (PPQ)

The Contractor shall complete the company specific information on this form, contact their clients, forward this form to their clients and request that their clients complete it (verify/concur and score) and send it via email to the assigned Contract Specialist at brendon.moran@ihs.gov. This will expedite the response from each referenced source.

Name of client organization:

Project name and contract/task order number:

Brief description of support provided:

Total period of performance, dates, and total cost/price:

Number of contractor personnel assigned to the project, by skill category:

SECTION 1:

Name and Title of Technical Point of Contact (POC):

Address of Technical POC:

Telephone number of Technical POC:

Date the Technical POC was contacted for this PPQ:

SECTION 2:

Please indicate the rating you would give the completed project:

1. Overall Technical Performance

Excellent Very Good Good Fair Poor N/A

2. Quality of work

3. Schedule Performance Excellent Very Good Good Fair Poor N/A

4. Cost Performance mailto:brendon.moran@ihs.gov

5. Did the contractor proactively identify risk areas, mitigate risks, and respond to emergency and critical situations? Yes No

6. Would you use this company again? Yes No

*Please send the completed PPQ form via email to the assigned Contract Specialist at brendon.moran@ihs.gov by 4:00 PM (EST) on October 26, 2022.

mailto:brendon.moran@ihs.gov

Brief description of support provided:
Total period of performance, dates, and total cost/price:
SECTION 1:
Name and Title of Technical Point of Contact (POC):
SECTION 2:

File details come from the government source that posted it. Updated .