Attachment B_PP form_70RDAD21R00000019_9.8.21.docx

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70RDAD21R00000019 - Environmental Health and Safety SME
Solicitation number
70RDAD21R00000019
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This solicitation requests proposals for environmental health and safety subject matter expert services. The Department of Homeland Security Office of Procurement Operations is seeking these services in support of its operations. Offerors must complete the past performance form to provide details of prior relevant contracts, including customer and reference information, contract details such as value, period of performance, and brief descriptions of work performed and results. Proposals are due by the date specified in the solicitation document. The solicitation contains standard federal acquisition clauses and instructions for preparation and submission of proposals, as well as evaluation criteria emphasizing relevant experience and past performance.

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70RDAD21R00000019_A0001.pdf PDF
70RDAD21R00000019 - EHand Sfty SME_9.8.2021_for post.pdf PDF
Attachment A - NDA_70RDAD21R00000019.pdf PDF

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70RDAD21R00000019 Environmental Health and Safety SME Attachment B - Past Performance Information Form Refer to Section solicitation section VIII – INSTRUCTIONS, CONDITIONS AND NOTICES for completion information.

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

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