Attachment 3 -Past Performance List of References.doc
DOC document 41 KB Posted
- Attached to
- RADIATION THERAPY SERVICES Federal contract opportunity
- Solicitation number
- FA301021R0010
About this file
This document contains a solicitation for radiation therapy services and a past performance list of references. The solicitation seeks proposals for personal services including one senior certified medical dosimetrist, one medical dosimetrist, one lead radiation therapist, two radiation therapists, and one certified medical physicist. The place of performance is Keesler Medical Center at Keesler Air Force Base in Mississippi. The period of performance is a one-year base period followed by four one-year options not exceeding 66 months total. The requirement is set aside 100% for small businesses with a NAICS code of 621512 and size standard of $16.5 million. The government will award a firm-fixed price contract and all invoices must be submitted electronically. Proposals are due by the closing date of July 2021 in response to solicitation number FA301021R0010. The past performance list of references is an attachment requesting references from the offeror's previous contracts for similar work.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| QUESTIONS AND ANSWERS.pdf | ||
| Attachment 2 -Past Performance Questionnaire.docx | DOCX document | |
| Attachment 1 -PWS Radiation Therapy - Final.pdf | ||
| Solicitation - FA301021R0010.pdf |
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Text version
Attachment 3-List of References
Solicitation #:FA301021R0010 Radiation Therapy Services
PAST PERFORMANCE LIST OF REFERENCES
Company Name:______________________________________________
CONTRACT NUMBER
(include task order number(s) if applicable) Identify if CPAR is available, see 52.212-1(b)(10)
DESCRIPTION OF WORK PERFORMED
(Performed as a prime/sub-contractor, details i.e. number of FTE, position type, full-time or session-based, %performed, etc.)
CONTRACT PERIOD OF PERFORMANCE (POP)
CONTRACTING AGENCY POC/CUSTOMER NAME, PHONE # & EMAIL
CONTRACT VALUES
(include total contract amount, annual amount and POP for annual amount) performed by a proposed subcontractor, affiliate, or joint venture?
(If yes, please complete Page 2)
Total: $
Annual: $
POP for Annual:
Total: $
Total: $
CONTRACT NUMBER
(include task order number(s) if applicable) subcontractor, affiliate, or joint venture
DESCRIBE FUNCTION/TASK/3rd party affect on performance
1. If proposing to use a Subcontractor, Affiliate, or Joint Venture for this effort, include percentage of work, splitting of cost, type of services i.e. accounting, recruiting, etc they will perform for this effort (provide information below)
2. If contractor proposing on this effort provided past performance they performed as a Subcontractor, Affiliate, or Joint Venture, include percentage of work, splitting of cost, type of services performed, i.e. accounting, recruiting, etc for that effort (provide information below)
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