Attachment 2 - Contract Information Sheet.docx
DOCX document 30 KB Posted
- Attached to
- Health Insurance for Locally Employed Staff (LES), U. S. Embassy Skopje, North Macedonia
- Solicitation number
- 19GE5025R0095
About this file
The document is a Contract Information Sheet template designed for potential contractors to provide past performance and experience details for a federal solicitation. The template requires offerors to list 3-5 contracts, with specific fields to capture contract details such as contract title, location, contract number, owner contact information, and the offeror's role (Prime Contractor or Joint Venture Partner).
The associated federal contract opportunity is a solicitation (19GE5025R0095) issued by the Department of State Office of Acquisition Management for Health Insurance services for Locally Employed Staff at the U.S. Embassy in Skopje, North Macedonia. The Regional Procurement Support Office (RPSO) Frankfurt is managing the solicitation and inviting companies to submit proposals for healthcare services. The template is likely part of the proposal submission requirements, allowing potential contractors to demonstrate relevant past performance and experience in providing similar healthcare or insurance services.
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Other files
| File | Type | Posted |
|---|---|---|
| 19GE5025R0095-A0002.pdf | ||
| Attachment 1 - Price Proposal Breakdown (updated).xlsx | XLSX spreadsheet | |
| Attachment 5 - Exhibit A (updated).pdf | ||
| 19GE5025R0095-A0001.pdf | ||
| Attachment 4 - Form W-14 Instructions.pdf | ||
| Attachment 1 - Price Proposal Breakdown.xlsx | XLSX spreadsheet | |
| 19GE5025R0095.pdf | ||
| Attachment 5 - Exhibit A.pdf | ||
| Attachment 3 - Form W-14.pdf |
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Text version
CONTRACT INFORMATION SHEET / EXPERIENCE LISTING
Minimum 3 – maximum 5 contracts, 1 listing per contract
Experience and Past Performance
Offeror: __________________________________
(For Joint Venture Offeror) This project experience is being provided by
Name of firm
Contract Title:
Contact Location:
Contract number:
Owner of the project (to evaluate performance):
Phone number:
E-mail address:
Alternate point of contact (to evaluate performance):
Phone number:
E-mail address:
Role of the offeror on this contact (check one):
Prime Contractor joint Venture Partner
If Joint Venture, list other Joint Venture partner
If Joint Venture, state % of work that the offeror was responsible for %
Describe Contract in detail, including services that are similar to the project covered in this solicitation. Include all aspects of the Contract that will demonstrate relevancy, as described in the solicitation.
File details come from the government source that posted it. Updated .