Attachment 2 Experience Reporting Form.docx
DOCX document 19 KB Posted
- Attached to
- Regulated Medical Waste Services
- Solicitation number
- RMW-W81K04-25-R-A037
- Issued by
-
Department of the Army Medical Command
About this file
The file is a Sources Sought Experience Reporting Form for a Regulated Medical Waste Services contract opportunity. The document is a template designed for potential contractors to detail up to three projects demonstrating relevant experience in support of medical waste services. The form requires detailed information about previous contracts, including firm name, contract number, location, contract type, pricing arrangement, work description, relevance to the current acquisition, contract role, award amount, contract dates, and termination status.
This Sources Sought is issued by the United States Army Health Care Activity's Health Readiness Contracting Office to conduct market research for Regulated Medical Waste (RMW) disposal services. The requirement covers medical treatment facilities across all 50 United States, Guam, and Puerto Rico, serving military medical departments, the U.S. Military Entrance Processing Command's stations, and the Armed Forces Medical Examiner System. The government will determine whether to set aside the requirement for small businesses based on responses received, with a clear disclaimer that this is an informational request only and not a commitment to contract.
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Text version
Attachment 2 - SOURCES SOUGHT – REGULATED MEDICAL WASTE
EXPERIENCE REPORTING FORM
EXPERIENCE REPORTING FORM
Provide the following information to show up to three (3) examples of projects each for your company and your teaming partner/subcontractor completed for a total of 24 months of the previous 36 months indicating experience with projects of same or similar type and scope to Support Staff Services. Use one form per project.
Project No. 1
a. Name of Firm:
b. Contract Number, Title, and Location of Project:
c. Contract Type and Pricing Arrangement:
d. Type of Work/Description of the job:
e. Describe how the contract referenced is relevant to the immediate acquisition. If only portions of the contract are relevant, specify which portions of the contract are relevant to the immediate acquisition:
f. Role (Prime, Joint Venture, or Subcontractor, etc.):
g. Contract or Subcontract (Award) Amount:
h. Dates of Contract: Began: Completed:
i. Were You Terminated or Assessed Liquidated Damages? yes no. If “yes”, provide explanation:
Project No. 2
b. Contract Number, Title, and Location of Project:
c. Contract Type and Pricing Arrangement:
d. Type of Work/Description of the job:
Nature of the Contractual Effort or Items Purchased:
e. Describe how the contract referenced is relevant to the immediate acquisition. If only portions of the contract are relevant, specify which portions of the contract are relevant to the immediate acquisition:
f. Role (Prime, Joint Venture, or Subcontractor, etc.):
g. Contract or Subcontract (Award) Amount:
Project No. 3
b. Contract Number, Title, and Location of Project:
c. Contract Type and Pricing Arrangement:
d. Type of Work/Description of the job: Describe how the contract referenced is relevant to the immediate acquisition. If only portions of the contract are relevant, specify which portions of the contract are relevant to the immediate acquisition:
f. Role (Prime, Joint Venture, or Subcontractor, etc.):
g. Contract or Subcontract (Award) Amount:
File details come from the government source that posted it. Updated .