Attachment 3 - Past Performance Recipient List.docx

DOCX document 20 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 document is an attachment containing a past performance recipient list template for solicitation number HT001424R0004 issued by the Defense Health Agency. The template requires offerors to provide details of up to three past performance references including the name of the effort, citation number, date sent, mode of transmittal, point of contact, and their contact information. Offerors must also provide the company name, address, date of last contact for each reference, as well as the date the questionnaire was sent and any additional comments. The related federal contract opportunity is for PAD medical coding and transcription services with an opportunity type listed as solicitation.

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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
HT001424R0004-0003.pdf PDF
HT001424R0004 Amendment 0002.pdf PDF
HT001424R0004 Conformed Copy 22Dec2023.pdf PDF
Attachment 5 - Price Proposal Workbook rvsd2.xlsx XLSX spreadsheet
HT001424R0004 RFP Q and A 22Dec2023.pdf PDF
Attachment 1 - PWS for PAD Medical Coders 22Dec2023.pdf PDF
HT001424R0004-0001.pdf PDF
HT001424R0004 Conformed Copy.pdf PDF
Attachment 1 - PWS for PAD Medical Coders 8Dec2023.pdf PDF
Attachment 2 - Past Performance Information Form (PPIF).docx DOCX document
Attachment 4 - Past Performance Questionnaire.docx DOCX document
Attachment 5 - Price Proposal Workbook rvsd.xlsx XLSX spreadsheet
HT001424R0004 Solicitation.pdf PDF
RFP Q and A 12-08-23.pdf PDF
Show all 14

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Text version

HT001424R0004

Attachment 3 8 December 2023

Company Name ______________________________________________________________ Page _______ of ________

PRESENT & PAST PERFORMANCE QUESTIONNAIRE RECIPIENT LIST

Solicitation No. HT001423R0004

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

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