Attachment 2 - Past Performance.docx
DOCX document 31 KB Posted
- Solicitation number
- 19GE5025R0003
About this file
This is a Past Performance template form (Attachment 2) requesting details about previous contracts from offerors bidding on a health insurance services contract for locally employed staff at the U.S. Embassy in Georgetown, Guyana. The form requires contractors to submit 3-5 previous contract examples.
The template asks offerors to provide specific details for each contract including: contract title, location, contract number, project owner contact information with phone and email, alternate point of contact details, the offeror's role (prime contractor or joint venture partner), percentage of work responsibility if a joint venture, and a detailed description demonstrating relevancy to the current solicitation. The solicitation response deadline is January 13, 2025, with questions due by December 18, 2024 at 14:00 CET. The contracting agency is the Department of State Office of Acquisition Management.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit A - Employee Statistic.pdf | ||
| Attachment 5 - QUESTIONS.pdf | ||
| Attachment 7 - Claims Data.pdf | ||
| 19GE5025R0003-0001.pdf | ||
| Attachment 6 - Average Insured Member Count.pdf | ||
| Exhibit A - Employee Statistic.docx | DOCX document | |
| Solicitation 19GE5025R0003.pdf | ||
| Attachment 1 - Pricing.xlsx | XLSX spreadsheet | |
| Attachment 4 - Instructions to complete W-14.pdf | ||
| Attachment 3 - Form W-14.pdf |
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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 .