ATTACHMENT L1 Present and Past Performance Information Form.docx
DOCX document 15 KB Posted
- Solicitation number
- HT001121R0004
- Issued by
-
Defense Health Agency
View the file
Other files
| File | Type | Posted |
|---|---|---|
| HT001121R0004 OMNIBUS IV 4 RFP.pdf | ||
| ATTACHMENT L2 PRESENT AND PAST PERFORMANCE QUESTIONNAIRE.docx | DOCX document | |
| Attach 1_SOO.PDF.pdf | ||
| Attach 2_dd254 DoD Contract Security Classification Specification.pdf | ||
| Attach 6_PIEE Vendor Registration Instructions.pdf | ||
| Attach 4_Self Scoring Worksheet.xlsx | XLSX spreadsheet | |
| Attach 5_ Performance Guarantee Agreement.pdf | ||
| QA FOR DRAFT RFP POSTING OMNIBUS IV.xlsx | XLSX spreadsheet | |
| Attach 3_Price Sheet.xlsx | XLSX spreadsheet | |
| ATTACHMENT S1 SMALL BUSINESS PARTCIPATION CALCULATION TEMPLATE.docx | DOCX document |
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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
SOLICITATION NUMBER: HT0011-21-R-0004
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. Program Title: __________________________________
| 3. 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:
4. 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 | __________________________________________ | |
| __________________________________________ |
5. Provide a brief description of the effort.
6. Illustrate how your experience on this referenced contract/program relates to the scope of your proposed effort on this solicitation. Please utilize the proficiency areas within the Market Segment identified in the SOO as your point of comparison.
7. Illustrate how your experience on this referenced contract/program relates to the complexity of your proposed effort on this solicitation. Please utilize the complexity areas identified in M.2.3 as your point of comparison.
8. 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 .