Attachment 2 - Past Performance.docx

DOCX document 28 KB Posted

Attached to
Health insurance, US Embassy Ouagadougou, Burkina Faso
Solicitation number
19GE5024R0003
Issued by

About this file

This document contains an experience listing template for offerors to submit past performance information on up to five relevant contracts for a health insurance solicitation from the Department of State Office of Acquisition Management. The template requests contract details including title, location, number, owner, primary and alternate points of contact, offeror's role as prime contractor or joint venture partner, and percentage of work performed. Offerors are to describe each contract and services provided to demonstrate relevance to the solicitation, which seeks health insurance for the US Embassy in Ouagadougou, Burkina Faso under solicitation number 19GE5024R0003.

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Other files

File Type Posted
19GE5024R0003_0001.pdf PDF
Cover Letter_19GE5024R0003.pdf PDF
19GE5024R0003.pdf PDF
Attachment 3 - Form W-14.pdf PDF
Exhibit A - Employee Statistic.docx DOCX document
Attachment 1 - Pricing.xlsx XLSX spreadsheet

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Text version

Attachment 2

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 .