Attachment 4 - Past Performance and Experience.pdf

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Attached to
Locally Employed Staff Health Insurance Services for U. S. Embassy Harare, Zimbabwe
Solicitation number
19GE5026R0003
Issued by

About this file

This document is a Contract Information Sheet / Experience Listing form for Solicitation No. 19GE5026R0003, Attachment 4. The form is designed for offerors to provide detailed information about their past contract experience, with requirements to list between 3-5 contracts. The template requires comprehensive details for each contract, including contract title, location, number, owner contact information, contract amounts, start and completion dates, and a detailed description of services performed.

The form is specifically intended for Section III, Volume 2, Tab C of a proposal, focusing on Experience and Past Performance. It allows offerors to document their role (Prime Contractor or Joint Venture Partner), percentage of work completed, and provides space to describe contract details that demonstrate relevance to the current solicitation. The form emphasizes the need to highlight services similar to the project being bid on, with ample space for offerors to explain the specifics of their previous contract work.

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Solicitation No. 19GE5026R0003 Attachment 4

CONTRACT INFORMATION SHEET / EXPERIENCE LISTING

Minimum 3 – maximum 5 contracts, 1 listing per contract

Section III, Volume 2, Tab C - Experience and Past Performance

Offeror: ________________________________________________________________

(For Joint Venture Offeror) This project experience is being provided by

Name of firm

Contract Title:

Contact Location:

Contract number:

Owner of the project (to evaluate performance):

Phone number:

E-mail address:

Alternate point of contact (to evaluate performance):

Phone number:

E-mail address:

Role of the offeror on this contact (check one):

Prime Contractor joint Venture Partner

If Joint Venture, list other Joint Venture partner

If Joint Venture, state % of work that the offeror was responsible for %

Solicitation No. 19GE5026R0003 Attachment 4

Contract amount and currency at award: ______________________________________

Contract amount and currency at completion: __________________________________

(explain any difference in Contract description below)

Contract start date: _______________________________________________________

Original Contract completion date:

Actual Contract completion date: ____________________________________________ (explain any difference in Contract description below)

Describe Contract in detail, including services that are similar to the project covered in this solicitation. Include all aspects of the Contract that will demonstrate relevancy, as described in the solicitation.

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