Attachment 1 - Past Performance Summary Sheet.docx
DOCX document 19 KB Posted
- Solicitation number
- HT940626QE013
- Issued by
-
Defense Health Agency
About this file
This is a Past Performance Summary Sheet template for solicitation HT940626QE013, issued by the Defense Health Agency for a Neonatologist and Neonatal Nurse Practitioner position at NMCCL. The template is designed for contractors to document their relevant past performance references in response to this solicitation. Contractors must submit up to three past performance references (with capability to add additional references by copying the template), with each reference requiring the contractor name, contract number, task order number, teaming partner information if applicable, and specific labor categories with the number of full-time equivalents (FTEs) assigned to each role.
Contractors are required to highlight the specific labor categories determined relevant to this solicitation; failure to do so may result in that reference no longer being considered in the evaluation process. The template provides example formatting showing how to document labor categories with FTE counts (e.g., Registered Nurse (3 FTEs); LPN (1 FTE)). Questions regarding this solicitation are due by 22 June 2026 at 0700 AM Eastern Time. This is a template document with instructional guidance for offerors to complete and submit as part of their proposal response.
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Other files
| File | Type | Posted |
|---|---|---|
| HT940626QE013 - Amendment 1.pdf | ||
| Questions and Answers - HT940626QE013.docx | DOCX document | |
| Performance Work Statement (Amendment 1).docx | DOCX document | |
| Performance Work Statement (Solicitation).docx | DOCX document | |
| Solicitation Certification Form.docx | DOCX document | |
| Solicitation - HT940626QE013.pdf | ||
| Attachment 2 - Past Performance Questionnaire Sheet.docx | DOCX document | |
| Attachment 3 - Pricing Worksheet Sheet.xlsx | XLSX spreadsheet | |
| Attachment 4 - Employee Total Compensation Plan.xlsx | XLSX spreadsheet |
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Text version
Solicitation HT940626QE013 Attachment 1
Past Performance Summary Sheet
Provide the following information for each past performance reference submitted in response to this solicitation. The contractor shall highlight the specific labor category/categories that is/are determined relevant for this solicitation. If the contractor does not highlight the specific labor category/categories that is/are determined relevant for this solicitation, that reference may no longer be considered. Contractors are allowed to edit this sheet to identify more than three (3) task orders by copying one of the blank tables included below:
Past Performance Reference #1:
Contractor Name:
Contract Number:
Task Order Number:
Teaming Partner Information:
Labor Category (# of FTEs): example: Registered Nurse (3 FTEs); LPN (1 FTE)
Past Performance Reference #2:
Contractor Name:
Contract Number:
Task Order Number:
Teaming Partner Information:
Labor Category (# of FTEs): example: Registered Nurse (3 FTEs); LPN (1 FTE)
Past Performance Reference #3:
Contractor Name:
Contract Number:
Task Order Number:
Teaming Partner Information:
Labor Category (# of FTEs): example: Registered Nurse (3 FTEs); LPN (1 FTE)
Instructions to Offerors: Remove all blue italicized text and replace it with referenced data.
File details come from the government source that posted it. Updated .