Attachment 3 - Reference Information Sheet.docx
DOCX document 12 KB Posted
- Solicitation number
- 47QFPA23K0020
About this file
This document is an Attachment 3 - Reference Information Sheet, which is a form to be completed by offerors for a federal contract opportunity. The form requests details about a prior contract the offeror has completed, including the government agency, contract number, dates, contract type and value, performance, and small business utilization. The offeror is also required to attach a summary description of the prior contract work and its relevance to the current opportunity.
The related federal contract opportunity is for Operational Support for OPA Project ID# 47QFPA23K0020, issued by the General Services Administration (GSA) Federal Acquisition Service Assisted Acquisition Services Region 9 on behalf of the Department of Defense Office of People Analytics (OPA). The requirement is for specialized data collection support services to assist OPA's Centers for Health & Resilience and Retention & Readiness in conducting surveys and organizing data to support personnel information needs.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment_5_-_Question Response_4.18.2024_OPAresponse_clean (1).pdf | ||
| Amendment 0001 SF30.pdf | ||
| Attachment 2 - Commercial Model_Subk Plan- Apr 2024 - 508 Compliant (1).docx | DOCX document | |
| 47QFPA23K0020_RFP_OPA updated 24 April 20224 (1).docx | DOCX document | |
| Attachment 1 - Operations PWS_revised_18apr2024 (1).docx | DOCX document | |
| Attachment 2 - Commercial Model_Subk Plan-Jan 2023 - Final_508.docx | DOCX document | |
| Attachment 7 - Operations Personnel Requirements.xlsx | XLSX spreadsheet | |
| Attachment 6 - Price Schedule.xlsx | XLSX spreadsheet | |
| Attachment 5 - Question and Answers Template.docx | DOCX document | |
| Attachment 4 - QASP.docx | DOCX document | |
| Attachment 1 - Operations PWS.docx | DOCX document | |
| 47QFPA23K0020_RFP_OPA.docx | DOCX document |
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Text version
ATTACHMENT 3
REFERENCE INFORMATION SHEET
(Note: Offerors are not to change the spatial structure of this form, i.e. borders, block size, etc.)
1. Complete Name of Reference (Government agency)
2. Complete Address of Reference
3. Contractor Name
4. Contractor Role (prime/subcontractor)
5. Contract Number or other control number
6. Date of contract
7. Date work began
8. Date work was completed or completion date if all options are exercised
9. Contract type, initial contract price, estimated cost and fee, or target cost and profit or fee
10. Final amount invoiced or amount invoiced to date
11a. Reference/Technical point of contact (name, title, address, telephone no. and email address)
11b. Reference/Contracting point of contact (name, title, address, telephone no. and email address)
12. Location of work (country, state or province, county, city)
13. Current status of contract (choose one):
[ ] Work continuing, on schedule [ ] Terminated for Convenience [ ] Work continuing, behind schedule [ ] Terminated for Default [ ] Work completed, no further action pending or underway [ ] Other (explain) [ ] Work completed, routine administrative action pending or underway [ ] Work completed, claims negotiations pending or underway [ ] Work completed, litigation pending or underway
14. Provide brief information describing the success of your firm in furthering the policy of the United States to maximize practicable opportunities for small business concerns, HUBZone small business concerns, small business concerns owned and controlled by socially and economically disadvantaged individuals, and small business concerns owned and controlled by women to participate in this contract.
15. When contracting with firms described in part 12 above, describe what, if any, procedures your firm established to ensure timely payment of amounts due.
16a. Did this contract require a Small Business Subcontracting Plan pursuant to FAR 52.219-9? Yes ___ , No ___.
16b. If “Yes” to 14a, have you regularly submitted Individual Subcontracting Reports (ISR)/Summary Subcontract Reports (SSR) on time? Yes ___ , No ___.
16c. Attach a copy of your most recently submitted ISR.
17 Provide a summary description of contract work, not to exceed 5 pages in length. Describe the nature and scope of work, its relevancy to this contract, and a description of any problems encountered and your corrective actions. Attach the additional information to this form.
47QFPA23K0020
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