ATTCH 3 - Past Performance List of References.pdf

PDF 267 KB Posted

Attached to
Cost Per Reportable (CPR) Automated Urinalysis System Federal contract opportunity
Solicitation number
FA442724Q0057
Issued by
Department of the Air Force Air Mobility Command

About this file

This document is a Past Performance List of References for a federal contract opportunity. It requests information from vendors about their previous relevant work experience, including contract details, description of work performed, period of performance, customer contacts, and contract values. The related federal contract opportunity is for a Cost Per Reportable (CPR) Automated Urinalysis System for the David Grant Medical Center at Travis Air Force Base. The Air Force intends to award a firm-fixed-price contract for this requirement, which includes a base year and four 12-month option years, with a possible 6-month extension. The contract will be for all-inclusive pricing per reportable, and the selected contractor will be responsible for providing all equipment. Vendors must provide the make and model of their analyzers and indicate their authority to operate status. The solicitation will utilize simplified acquisition procedures under FAR Part 13.5, and the NAICS code is 334516 - Analytical Laboratory Instrument Manufacturing, with a small business size standard of 1,000 employees.

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Text version

Attachment 3 – Past Performance List of references

FA4427-24-Q-0057

Page 1 of

PAST PERFORMANCE LIST OF REFERENCES

Vendor Name:

CONTRACT NUMBER

(include task order number(s) if applicable)

DESCRIPTION OF WORK PERFORMED

(performed as a prime/sub-contractor, details i.e.

number of FTE, position type, full-time or session-based, %performed, etc. )

CONTRACT

PERIOD OF

PERFORMANCE

(POP)

CONTRACTING AGENCY

POC/CUSTOMER NAME, PHONE #

& EMAIL

CONTRACT VALUES

(include total contract amount, annual amount and POP for annual amount)

PERFORMED BY A

PROPOSED

SUBCONTRACTOR

AFFILIATE, OR

JOINT VENTURE?

(If yes, please complete Page 2)

Total: $

Annual: $

POP for Annual:

Attachment 3 – Past Performance List of references

FA4427-24-Q-0057

Page 2 of

CONTRACT NUMBER

(include task order number(s) if applicable)

SUBCONTRACTOR,

AFFILIATE, OR

JOINT VENTURE

DESCRIBE FUNCTION/TASK/3RD PARTY AFFECT ON PERFORMANCE

1. If proposing to use a Subcontractor, Affiliate, or Joint Venture for this effort, include percentage of work, splitting of cost, type of services i.e. accounting, recruiting, etc they will perform for this effort (provide information below)

2. If contractor proposing on this effort provided past performance they performed as a Subcontractor, Affiliate, or Joint Venture, include percentage of work, splitting of cost, type of services performed, i.e. accounting, recruiting, etc for that effort (provide information below)

1.

2.

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