ATTACHMENT L1 Present and Past Performance Information Form_A0002.docx
DOCX document 15 KB Posted
- Solicitation number
- HT001121R00040002
- Issued by
-
Defense Health Agency
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT S1 SMALL BUSINESS PARTCIPATION CALCULATION TEMPLATE_A0002.docx | DOCX document | |
| ATTACHMENT L2 PRESENT AND PAST PERFORMANCE QUESTIONNAIRE _A0002.docx | DOCX document | |
| HT001121R00014_OMNIBUS IV _ 04.12.2021_AMEND0002.pdf | ||
| Attach 3_Price Sheet_A002.xlsx | XLSX spreadsheet | |
| HT001121R00014_OMNIBUS IV _ 04.12.2021_AMEND0002_CONFORMED COPY.pdf | ||
| Attach4_Self Scoring Worksheet_A002.xlsx | XLSX spreadsheet | |
| QA HT001121R0004_AMENDMENT 0002_ 04.12.2021.xlsx | XLSX spreadsheet |
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ATTACHMENT L-1: Present and Past Performance Information Form
ATTACHMENT L-1: PRESENT AND PAST PERFORMANCE INFORMATION FORM
DEFENSE HEALTH AGENCY
OMNIBUS IV MILITARY MEDICAL RESEARCH & DEVELOPMENT
SOLICITATION NUMBER: HT0011-21-R-0004, A0002
Provide the information requested in this form, for each contract being assessed for past or present performance. Provide frank, concise comments regarding your performance on the contracts you identify. Provide a separate form for each contract/program submitted.
1. Offeror Name (Company/Division): __________________________________
| CAGE Code: | __________________________________ | |
| DUNS Number + 4: | __________________________________ |
2. Market Segment:
3. Proficiency Area(s):
4. Contract/Program Title: __________________________________
| 5. Contract Specifics: | __________________________________ | |
| a. Contracting Agency or Customer | __________________________________ |
| b. Contract Number | __________________________________ | ||
| c. Contract Type | __________________________________ | ||
| d. Role (check one) | Prime______ | Sub______ | |
| e. Period of Performance | __________________________________ | ||
| f. Original Contract $ Value | _____________(Do not include unexercised options) | ||
| g. Current Contract $ Value | _____________(Do not include unexercised options) | ||
| h. Total Contract $ Value | ______________(Include unexercised options) |
i. If amounts for (f) and (g) above are different, provide a brief description of the reason:
6. Primary Customer Points of Contact:
(For Government contracts, provide current information on all three individuals. For commercial contracts, provide points of contact fulfilling these same roles.)
a. Program Manager
| Name | __________________________________________ | |
| Office | __________________________________________ | |
| Address | __________________________________________ | |
| __________________________________________ | ||
| __________________________________________ | ||
| Telephone | __________________________________________ | |
| __________________________________________ |
b. Contracting Officer:
| Name | __________________________________________ | |
| Office | __________________________________________ | |
| Address | __________________________________________ | |
| __________________________________________ | ||
| __________________________________________ | ||
| Telephone | __________________________________________ | |
| __________________________________________ |
c. Administrative Procuring Contracting Officer(if applicable):
| Name | __________________________________________ | |
| Office | __________________________________________ | |
| Address | __________________________________________ | |
| __________________________________________ | ||
| __________________________________________ | ||
| Telephone | __________________________________________ | |
| __________________________________________ |
7. Provide a brief description of the effort.
8. Illustrate how your experience on this referenced contract/program relates to the scope of your proposed effort on this solicitation. Please utilize the scope definition as identified in M.2.3 as your point of comparison.
9. Illustrate how your experience on this referenced contract/program relates to the complexity of your proposed effort on this solicitation. Please utilize the complexity definition as identified in M.2.3 as your point of comparison.
10. Identify principal challenges you have encountered in executing previous/current efforts as related to this proposal and how you were able to mitigate and/or overcome them.
File details come from the government source that posted it. Updated .