Attachment 3 - Past Performance Recipient List.docx

DOCX document 21 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 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.

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Other files for this federal contract opportunity

Other files attached to PAD Medical Coders and Transcription Services, newest first.
File Type Posted
RFP Q and A 11-29-23.pdf PDF
Attachment 5 - Price Proposal Workbook rvsd.xlsx XLSX spreadsheet
HT001424R0004 PAD Medical Coders Solicitation.pdf PDF
Attachment 2 - Past Performance Information Form (PPIF).docx DOCX document
Attachment 5 - Price Proposal Workbook.xlsx XLSX spreadsheet
Attachment 1 - Performance Work Statement.pdf PDF
Attachment 4 - Past Performance Questionnaire.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 #

E-mail

Address

Questionnaire Recipient Information

Name Of Effort

Citation #:

Date Sent

Mode of Transmittal

Point of Contact Name

Phone / Fax / E-Mail
Phone

Fax

E-mail

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

E-mail

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

E-mail

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

E-mail

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

E-mail

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

E-mail

Company Name

Address

Date of Last Contact

Date Sent

Comments

File details come from the government source that posted it. Updated .