Attachment 3 Experience Reporting Form.docx
DOCX document 19 KB Posted
- Attached to
- TRADOC Support Staff Services
- Solicitation number
- PANHCA25P0000008048
- Issued by
-
Department of the Army Medical Command
About this file
The document is an Experience Reporting Form for a Sources Sought synopsis related to TRADOC Support Staff Services. The U.S. Army Health Care Activity is conducting market research to identify potential contractors for medical operational staff support at Fort Eustis, VA. The requirement involves restructuring the surgeon staff into three medical support divisions: Support Division, Clinical Operational Division, and Medical Operations Division. Contractors will coordinate and synchronize information across TRADOC Surgeon medical support divisions, including interactions with Headquarters Department of the Army, DHA, and OTSG.
Key details include an 8(a) set-aside procurement with NAICS code 541990 and a small business size standard of $19.5M. The contract will be a Firm Fixed Price award with an estimated start date of February 1, 2026, and will consist of 5 ordering periods. Interested parties must submit a 15-page capabilities statement by May 30, 2025, at 2 PM CDT, addressing specific PWS requirements. Travel is anticipated to be approximately 10% within CONUS, subject to Contracting Officer approval. Respondents must be registered in sam.gov and provide detailed information about their organizational capabilities, technical skills, and experience with similar projects.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 3 Experience Reporting Form.pdf | ||
| Attachment 4 Questions and Answers Template.pdf | ||
| Attachment 1 Draft PWS.pdf | ||
| Attachment 2 Market Research Questionnaire.pdf | ||
| Attachment 2 Market Research Questionnaire.docx | DOCX document | |
| Attachment 1 Draft PWS.docx | DOCX document | |
| Attachment 4 Questions and Answers Template.docx | DOCX document |
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Text version
Attachment 3 - SOURCES SOUGHT – SUPPORT STAFF SERVICES
EXPERIENCE REPORTING FORM
EXPERIENCE REPORTING FORM
Provide the following information to show up to three (3) examples of projects each for your company and your teaming partner/subcontractor completed for a total of 24 months of the previous 36 months indicating experience with projects of same or similar type and scope to Support Staff Services. Use one form per project.
Project No. 1
a. Name of Firm:
b. Contract Number, Title, and Location of Project:
c. Contract Type and Pricing Arrangement:
d. Type of Work/Description of the job:
e. Describe how the contract referenced is relevant to the immediate acquisition. If only portions of the contract are relevant, specify which portions of the contract are relevant to the immediate acquisition:
f. Role (Prime, Joint Venture, or Subcontractor, etc.):
g. Contract or Subcontract (Award) Amount:
h. Dates of Contract: Began: Completed:
i. Were You Terminated or Assessed Liquidated Damages? yes no. If “yes”, provide explanation:
Project No. 2
b. Contract Number, Title, and Location of Project:
c. Contract Type and Pricing Arrangement:
d. Type of Work/Description of the job:
Nature of the Contractual Effort or Items Purchased:
e. Describe how the contract referenced is relevant to the immediate acquisition. If only portions of the contract are relevant, specify which portions of the contract are relevant to the immediate acquisition:
f. Role (Prime, Joint Venture, or Subcontractor, etc.):
g. Contract or Subcontract (Award) Amount:
Project No. 3
b. Contract Number, Title, and Location of Project:
c. Contract Type and Pricing Arrangement:
d. Type of Work/Description of the job: Describe how the contract referenced is relevant to the immediate acquisition. If only portions of the contract are relevant, specify which portions of the contract are relevant to the immediate acquisition:
f. Role (Prime, Joint Venture, or Subcontractor, etc.):
g. Contract or Subcontract (Award) Amount:
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