Attachment 3 - Past Performance Recipient List.docx
DOCX document 21 KB Posted
- Attached to
- PAD Medical Coders and Transcription Services
- Solicitation number
- HT001424R0004
- Issued by
-
Defense Health Agency
About this file
This is a past performance recipient list template for a federal contract solicitation seeking medical coding and transcription services. The template includes fields for offerors to provide information on at least six past performance references, including the name of the effort, a citation number, date sent, mode of transmittal, point of contact, and their contact information. For each reference, offerors will also provide the company name, address, date of last contact, date the questionnaire was sent, and any comments. The related federal contract opportunity is from the Defense Health Agency seeking medical coding and transcription services under solicitation number HT001424R0004.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFP Q and A 11-29-23.pdf | ||
| Attachment 5 - Price Proposal Workbook rvsd.xlsx | XLSX spreadsheet | |
| HT001424R0004 PAD Medical Coders Solicitation.pdf | ||
| Attachment 4 - Past Performance Questionnaire.docx | DOCX document | |
| Attachment 1 - Performance Work Statement.pdf | ||
| Attachment 5 - Price Proposal Workbook.xlsx | XLSX spreadsheet | |
| Attachment 2 - Past Performance Information Form (PPIF).docx | DOCX document |
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Text version
HT0014-24-R-0007
Attachment 3 20 November 2023
Company Name ______________________________________________________________ Page _______ of ________
PRESENT & PAST PERFORMANCE QUESTIONNAIRE RECIPIENT LIST
Solicitation No. HT001424R0004
Offeror Information
Company Name
POC Name
Phone / Fax #
Address
Questionnaire Recipient Information
Name Of Effort
Citation #:
Date Sent
Mode of Transmittal
Point of Contact Name
| Phone / Fax / E-Mail |
| Phone |
Fax
Company Name
Address
Date of Last Contact
Date Sent
Comments
Questionnaire Recipient Information
Name Of Effort
Citation #:
Date Sent
Mode of Transmittal
Point of Contact Name
| Phone / Fax / E-Mail |
| Phone |
Fax
Company Name
Address
Date of Last Contact
Date Sent
Comments
Questionnaire Recipient Information
Name Of Effort
Citation #:
Date Sent
Mode of Transmittal
Point of Contact Name
| Phone / Fax / E-Mail |
| Phone |
Fax
Company Name
Address
Date of Last Contact
Date Sent
Comments
Questionnaire Recipient Information
Name Of Effort
Citation #:
Date Sent
Mode of Transmittal
Point of Contact Name
| Phone / Fax / E-Mail |
| Phone |
Fax
Company Name
Address
Date of Last Contact
Date Sent
Comments
Questionnaire Recipient Information
Name Of Effort
Citation #:
Date Sent
Mode of Transmittal
Point of Contact Name
| Phone / Fax / E-Mail |
| Phone |
Fax
Company Name
Address
Date of Last Contact
Date Sent
Comments
Questionnaire Recipient Information
Name Of Effort
Citation #:
Date Sent
Mode of Transmittal
Point of Contact Name
| Phone / Fax / E-Mail |
| Phone |
Fax
Company Name
Address
Date of Last Contact
Date Sent
Comments
File details come from the government source that posted it. Updated .