Attachment 2 - Past Performance Information Form (PPIF).docx
DOCX document 27 KB Posted
- Attached to
- PAD Medical Coders and Transcription Services Federal contract opportunity
- Solicitation number
- HT001424R0004
- Issued by
- Defense Health Agency
About this file
This document is a past performance information form template to be completed for a federal contract solicitation from the Defense Health Agency. The solicitation seeks medical coding and transcription services under solicitation number HT001424R0004. Offerors must provide details of relevant past performance references, including customer names and contact information, contract periods of performance and pricing, and brief descriptions of work performed. The self-assessment section allows offerors to describe any past performance issues and corrective actions. No further substantive information is included in the template regarding the scope of the medical coding and transcription services required.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| HT001424R0004 Conformed Copy 22Dec2023.pdf | ||
| Attachment 5 - Price Proposal Workbook rvsd2.xlsx | XLSX spreadsheet | |
| HT001424R0004 RFP Q and A 22Dec2023.pdf | ||
| Attachment 1 - PWS for PAD Medical Coders 22Dec2023.pdf | ||
| HT001424R0004-0003.pdf | ||
| HT001424R0004 Amendment 0002.pdf | ||
| HT001424R0004 Conformed Copy.pdf | ||
| HT001424R0004-0001.pdf | ||
| Attachment 1 - PWS for PAD Medical Coders 8Dec2023.pdf | ||
| Attachment 3 - Past Performance Recipient List.docx | DOCX document | |
| Attachment 4 - Past Performance Questionnaire.docx | DOCX document | |
| Attachment 5 - Price Proposal Workbook rvsd.xlsx | XLSX spreadsheet | |
| HT001424R0004 Solicitation.pdf | ||
| RFP Q and A 12-08-23.pdf |
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Text version
HT001424R0004
Attachment 2 8 December 2023
PRESENT AND PAST PERFORMANCE INFORMATION FORM (PPIF)
Provide the information requested in this form for each of the present or past contracts you have identified as recent and relevant to this solicitation. Provide a separate completed form for each contract identified.
A. Current Offeror (Company/Division):
Cage Code:
DUNS Number:
Additional Information: (If Present/Past Performance is for major subcontractor, please provide Company Name of subcontractor and annotate on this block as Subcontractor.)
B. Program Title:
C. Contract Specifics
1. Customer Name:
2. Customer Address and Phone No.
3. Contract Number and all applicable Order Numbers (i.e. Task Order, Delivery, Order, etc.):
4. Type of Contract
5. Period of Performance
| 6. Total Contract Price/Cost |
| $ |
| 7. Annual Contract Price/Cost |
| $ |
D. Description of Effort as Prime or Subcontractor
E. Describe how the work under this contract is relevant to this requirement (see Addendum to 52.212-2, paragraph 4.3.2). Please reference PWS paragraph reference when appropriate.
F. Self-assessment of past performance record. Provide information of any problems encountered and your corrective actions.
G. Current Status of Contract
H. Primary customer points of contact.
POINTS OF CONTACT
| Program Manager |
| Contracting Officer |
| Admin Contracting Officer |
Name:
Office:
Address:
Phone:
E-Mail:
Other (specify)::
Name:
Office:
Address:
Phone:
E-Mail:
File details come from the government source that posted it. Updated .