Attachment 4 - Past Performance References.pdf
PDF 114 KB Posted
- Attached to
- Solicitation - Therapeutic Medical Physicist & Medical Dosimetrist Support Services, Travis AFB, CA
- Solicitation number
- FA442724R0017
About this file
This document is Attachment 4 - Past Performance References, which is part of a federal contract opportunity. It is a template for the vendor to provide details on their past performance references, including the contract number, description of work performed, contract period of performance, contracting agency and customer contact information, contract values, and whether the work was performed as a subcontractor, affiliate, or joint venture.
The related federal contract opportunity is Solicitation FA442724R0017 for Therapeutic Medical Physicist and Medical Dosimetrist Support Services at Travis AFB, CA. This requirement was previously posted under Solicitations FA442724R0005 and FA442724R0009 but was cancelled due to changes in mission requirements. The agency is the Department of the Air Force Air Mobility Command. Previously submitted past performance questionnaires (PPQs) will be accepted, and the period of performance may be adjusted based on acquisition timelines.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation - FA442724R0017.pdf | ||
| Attachment 6 - WD 215-5655 Rev 19 Dated 26 December 2023.pdf | ||
| Attachment 1 - PWS v 11 Apr 24.docx | DOCX document | |
| Attachment 5 - Past Performance Questionnaire (PPQ) MFT 24-02.pdf | ||
| Attachment 3 - Instructions to offerors.pdf | ||
| Attachment 2 - Pricing.xlsx | XLSX spreadsheet |
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Text version
Attachment 4
PAST PERFORMANCE LIST OF REFERENCES
Vendor Name:
CONTRACT NUMBER
(include task order number(s) if applicable)
DESCRIPTION OF WORK PERFORMED
(performed as a prime/sub-contractor, details i.e.
number of FTE, position type, full-time or session-based, %performed, etc. )
CONTRACT
PERIOD OF
PERFORMANCE
(POP)
CONTRACTING AGENCY
POC/CUSTOMER NAME, PHONE #
CONTRACT VALUES
(include total contract amount, annual amount and POP for annual amount)
PERFORMED BY A
PROPOSED
SUBCONTRACTOR
AFFILIATE, OR
JOINT VENTURE?
(If yes, please complete Page 2)
Total: $
Annual: $
POP for Annual:
Attachment 4
CONTRACT NUMBER
(include task order number(s) if applicable)
SUBCONTRACTOR,
AFFILIATE, OR
JOINT VENTURE
DESCRIBE FUNCTION/TASK/3RD PARTY AFFECT ON PERFORMANCE
1. If proposing to use a Subcontractor, Affiliate, or Joint Venture for this effort, include percentage of work, splitting of cost, type of services i.e. accounting, recruiting, etc they will perform for this effort (provide information below)
2. If contractor proposing on this effort provided past performance they performed as a Subcontractor, Affiliate, or Joint Venture, include percentage of work, splitting of cost, type of services performed, i.e. accounting, recruiting, etc for that effort (provide information below)
1.
2.
File details come from the government source that posted it. Updated .