Attachment 2 - Experience.pdf
PDF 1 MB Posted
- Attached to
- LES Health Insurance, U. S. Embassy Malta
- Solicitation number
- 19GE5026R0020
About this file
This is a Contract Information Sheet/Experience Listing form used for evaluating offerors' past performance on contracts related to health insurance services for locally employed staff at the U.S. Embassy Valletta, Republic of Malta. The form is part of Section 3.B.a.2 (Experience & Past Performance) of solicitation 19GE5026R0020.
Offerors must submit a minimum of three and a maximum of five contracts demonstrating relevant experience, with one listing per contract. For each contract listed, offerors must provide the firm name, contract title, contract location, contract number, project owner contact information (primary and alternate points of contact with phone and email), and specify their role as either a prime contractor or joint venture partner. The form requires disclosure of contract amounts in original currency at both award and completion, with explanations of any variances. Additional required information includes the contract start date, original completion date, and actual completion date. Offerors must provide a detailed contract description demonstrating relevancy to the solicitation, including specific features and issues similar to those likely to be encountered in the current solicitation. The form emphasizes that all aspects of the referenced contract should demonstrate relevancy as described in the solicitation requirements.
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Other files
| File | Type | Posted |
|---|---|---|
| 19GE5026R0020 QAs Letter.pdf | ||
| Attachment 1 - Pricing_Amendment 0001.xlsx | XLSX spreadsheet | |
| Exhibit A Employees S - Amendment 0001.pdf | ||
| 19GE5026R0020_Amendment 001-signed.pdf | ||
| 19GE5026R0020 - Combined Synopsis.pdf | ||
| Instructions Form W-14.pdf | ||
| Attachment 1 - Pricing.xlsx | XLSX spreadsheet | |
| Attachment 3 Form W-14.pdf | ||
| 19GE5026R0020 Cover Ltr-signed.pdf | ||
| Exhibit A Employees S.pdf |
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Text version
19GE5026R0020 Page 1 of 2 Health Insurance For Locally Employed Staff, U.S. Embassy Valletta, Republic of
Malta, Attachment 2 – Contract Information Sheet / Experience Listing
Minimum 3 – maximum 5 contracts, 1 listing per contract
Section 3.B.a.2 – Experience & Past Performance
Offeror: _______________________________________________________________ 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 %
Contract amount and currency at award:
Contract amount and currency at completion:
(explain any difference in Contract description below)
SBU - CONTRACTING AND ACQUISITIONS
Contract start date:
Original Contract completion date:
Actual Contract completion date:
(explain any difference in Contract description below)
Describe Contract in detail, including construction features that are similar to the project covered in this solicitation, and construction issues that are similar to those likely to be encountered during the construction of the work covered in this solicitation. Include all aspects of the Contract that will demonstrate relevancy, as described in the solicitation.
19GE5021R0035 Page 2 of 2 Health Insurance For Locally Employed Staff, U.S. Embassy Valletta, Republic of
Malta, Attachment 2 – Contract Information Sheet / Experience Listing
SBU - CONTRACTING AND ACQUISITIONS
File details come from the government source that posted it. Updated .