B08 Attachment (3) - Past Performance References.pdf
PDF 126 KB Posted
- Solicitation number
- HT942525RE009
- Issued by
-
Defense Health Agency
About this file
The document is a Past Performance References template for a federal contract opportunity. The multi-page form provides structured sections for offerors to document up to three past performance references, including details such as:
Each reference section requires comprehensive information including company name, contract organization, contract/task order number, contract type, total awarded price, period of performance, contracting officer and program manager contact information, NAICS code, and CPARS/PPIRS completion status. The template includes space for describing the requirement's relevance to the current solicitation and explaining any performance issues, corrective actions, and results. This template appears to be part of a solicitation for medical research and development, specifically focused on analyzing trauma and injury prevention in combat environments for the Defense Health Agency.
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ATTACHMENT 3: PAST PERFORMANCE REFERENCES
No record of relevant or recent past performance Past Performance Reference # 1
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR:
WORK PERFORMED AS THE:
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed:
OFFEROR PROPOSED SUBCONTRACTOR
PRIME SUBCONTRACTOR
YES NO
Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS report for this reference are to be addressed.
Past Performance Reference # 2
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR:
WORK PERFORMED AS THE:
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed:
OFFEROR PROPOSED SUBCONTRACTOR
PRIME SUBCONTRACTOR
YES NO
Description of the Requirement: Provide a concise explanation of the work performed, specifically related
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS report for
Past Performance Reference # 3
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR:
WORK PERFORMED AS THE:
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed:
OFFEROR PROPOSED SUBCONTRACTOR
PRIME SUBCONTRACTOR
YES NO
Description of the Requirement: Provide a concise explanation of the work performed, specifically related
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS report for
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