Attachment A - Past Performance Questionnaire.docx
DOCX document 27 KB Posted
- Attached to
- Mental Health Subject Matter Expert (SME)
- Solicitation number
- 70RDAD23R00000012
About this file
This document contains an attachment for past performance questionnaires and information on a related federal contract opportunity. The past performance questionnaire is a template for offerors to complete with details on up to three relevant contracts, including customer and reference contact information, contract numbers, types and pricing, dollar values, dates, and descriptions of work performed and relevance to the requirements of the related solicitation.
The related federal contract opportunity is solicitation number 70RDAD23R00000012 from the Department of Homeland Security Office of Procurement Operations to provide mental health subject matter expert services. The solicitation seeks offers for an indefinite delivery, indefinite quantity contract but provides no further details on required services, response dates, pricing terms, or whether any set-asides apply.
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Text version
Attachment A - Past Performance Information Form (Offerors are required to complete this form for no more than three (3) separate relevant contracts/projects) Offeror:
Company Group / Division:
Program, Project, Or Task Title:
REFERENCE INFORMATION
| 1 |
| Customer Name: |
| 2 |
| Address: |
| Customer Info: |
| Contracting Contact |
| Program / Project Manager or COR |
| 3 |
| Name & Title: |
| 4 |
| Organization: |
| 5 |
| Address: |
| 5 |
| Phone No.: |
| 6 |
| Fax No.: |
| 7 |
| E-mail: |
| 8 |
| Contract Number: |
| 9 |
| Contract Type (e.g. contract, BPA, task order) and pricing type (e.g. fixed price, cost reimbursement): |
| 10 |
| Dollar Value (Not-to Exceed): |
Cumulative funded amount:
| 11 |
| Project Start Date |
Estimated/Actual Completion Date:
| 12 |
| Current status, e.g. completed and/or in progress |
Description of Work Performed and Relevance to Requirements in this RFP
Problems Encountered and Resolutions
File details come from the government source that posted it. Updated .