Attachment 2 - Past Performance Questionnaire.docx
DOCX document 27 KB Posted
- Attached to
- WWR Recovery Care Coordinator Program Support Federal contract opportunity
- Solicitation number
- M00264-23-R-0006
- Issued by
- United States Marine Corps
About this file
This document contains a past performance questionnaire template and information about a related federal contract opportunity for Recovery Care Coordinator Program support services with the United States Marine Corps. The past performance questionnaire is to be completed for each reference and includes fields for contractor and contract details, a requirement description, and reference contact information. The federal contract opportunity is solicited under solicitation number M00264-23-R-0006 and seeks proposals for Recovery Care Coordinator Program support, including attachments with the full solicitation. The agency is the United States Marine Corps. Offerors are required to submit past performance questionnaires for relevant prior contracts demonstrating experience providing similar services.
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Text version
WWR RCC
Solicitation No. M00264-23-R-0006
Attachment 2: Past Performance Questionnaire
*Fill out 1 of these for each Past Performance reference*
1. Referenced Contract Data:
Contractor Name:
Contractor CAGE Code and UEI:
Contract Number:
Client / Agency:
Type of Contract:
Total Dollar Value of Contract (including options)
Total Dollar Value of work performed:
Period of Performance:
Program Title:
Please select from the following as it applies to this contract:
| Contractor Role |
| |_| PRIME |
| |_| SUBCONTRACTOR |
| Termination History |
| |_| Convenience |
| |_| Default |
| |_| N/A |
| Contract in CPARS? |
| |_| YES |
| |_| NO |
Requirement Description: Include a concise description of the work performed, specific responsibilities of the Offeror, major deliverables produced, performance measures/service levels applied, any problems/issues that occurred and correction action taken.
Describe how the scope is relevant to this requirement:
Describe how the size is similar to this requirement:
Describe how the complexity is similar to this requirement:
1. Contact Information for Reference:
Name
Title
Phone Number/Email Address:
Identify their role in the contract award or administration and the period of involvement.
| Role |
| Period of Involvement |
Procuring Contracting Officer (PCO)
Contracting Officer’s Representative (COR)
Technical Project Lead/Project Officer
Other:
File details come from the government source that posted it. Updated .