Attachment C Past Performance Summary Sheet.docx

DOCX document 25 KB Posted

Attached to
Healthcare IT support for Extract Lab Management System (ELMS)
Solicitation number
W81K04-26-Q-A022
Issued by

About this file

The document is a Past Performance Summary Sheet template for capturing detailed information about previous contract work. The template requires offerors to provide comprehensive details for each past performance reference, including company name, CAGE code, contract number, period of performance, current points of contact, description of effort (labor categories, location, number of FTEs), contract award amounts by year, and project status.

The template is specifically designed to support a federal solicitation (W81K04-26-Q-A022) for Healthcare IT support at the United States Army Centralized Allergen Extract Laboratory, seeking one full-time equivalent (FTE) IT Healthcare Support specialist to provide maintenance and upgrades for the Extract Lab Management System (ELMS). The solicitation is 100% small business set-aside, with a base year from 15 February 2026 to 14 February 2027 and three additional one-year option periods, totaling a potential four-year contract through 14 February 2030, with a response deadline of 28 January 2026 at 4:00 PM EST.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Past Performance Summary Sheet

Provide the following information for each past performance reference submitted in response to _______. Use one project Summary sheet per project. Limit three pages per project.

Company Name and CAGE:

Company Name:

CAGE:

Sub or Prime?

Contract Number or Task Order number and contract period of performance:

Do not provide IDIQ basic contract numbers. Projects provided under an IDIQ shall reference the Task Order number from which the work was completed.

Contract Number:

Period of performance:

Current point of contact (POC):

Provide current email address and phone numbers. Provide two POCs if possible, one from the contracting office and one from the end user/customer.

1.

2.

Description of effort:

Provide the labor categories, location of services and the number of FTEs performed for this effort.

Location:

Labor Category:

# of FTE:

Contract or Task Order Award Amount (Base and Options):

List the amount of the base year and each option year on the contract.

Base year:

Option 1:

Option 2:

Option 3:

Option 4:

Status of the project:

Identify status of performance reporting and how many years have successfully been completed. Identify any terminations or modifications for scope change.

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