Attachment 2 Past Performance.docx

DOCX document 31 KB Posted

Attached to
Health Insurance for Locally Employed Staff, U. S. Consulate General Willemstad, Curacao
Solicitation number
19GE5025R0010
Issued by

About this file

This is a past performance template (Attachment 2) requiring offerors to submit details for 3-5 previous contracts. The template requests specific information including contract title, location, contract number, owner contact information with phone and email, alternate point of contact details, and the offeror's role (prime contractor or joint venture partner). For joint ventures, offerors must specify their percentage of work responsibility and other partner details.

The template is part of solicitation 19GE5025R0010 for Health Insurance for Locally Employed Staff at the U.S. Consulate General in Willemstad, Curacao, issued by the Department of State's Regional Procurement Support Office in Frankfurt. Proposals are due February 17, 2025 at 1400 CET via email to IshchenkoIM@state.gov, with a pre-proposal conference scheduled for January 27, 2025. Questions are due by January 31, 2025. The solicitation requires electronic submission of all documents in Microsoft Word or PDF format, except for Attachment 1 Pricing which must be submitted as an Excel spreadsheet.

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Other files

File Type Posted
19GE5025R0010 0002.pdf PDF
Pre-Proposal Presentation_25R0010.pdf PDF
19GE5025R0010 0001.pdf PDF
Exhibit B Claims Data.pdf PDF
QA Letter_25R0010.pdf PDF
Exhibit A Employee Statistics.pdf PDF
Attachment 3 Form W-14.pdf PDF
RFP_19GE5025R0010.pdf PDF
RFP_Cover letter_25R0010.pdf PDF
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 .