13-100-SOL-00004_FFMN_CMO_Ammedment_No._3.pdf

SALIM K. ROBERTS

Solicitation No. 13-100-SOL-00004 Amendment No. 0003

(Continuation of Block 14 of SF 30)

a. Under Section L, Paragraph L-11 Technical Proposal Instructions: Past Performance Information, this section is herby deleted and replaced with the following:

Past Performance Information

Contractors shall submit the following information as part of their Technical proposal for both the Contractor and proposed major subcontractors.

The Contractor shall provide a list of the last three (3) similar/relevant contracts completed during the past five (5) years and all similar/relevant contracts (but no more than (5) similar/relevant contracts) currently in process. Contracts listed may include those entered into by the Federal Government, agencies of state and local governments and commercial customers. Contractors that are newly formed entities without prior contracts should list contracts as required above for all key personnel:

a. Name of Contracting Organization

b. Contract Number

c. Total Contract Value

d. Description of Requirement to include performance period

e. Contracting Officer's name, email and telephone number

f. Statement from the Contractor as to why this contract is relevant to our project.

In addition to the above requested information, the Contractor may submit completed past performance questionnaires for any similar/relevant contracts completed (See Attachment 9).

The Government reserves the right to consider past performance information from any source. It is the responsibility of the Contractors to ensure any submission of these questionnaires be delivered directly from their references to the Government.

Questionnaires shall be submitted to:

Quintin Hackshaw Contract Specialist

HHS/OS/ASPR/AMCG

330 Independence Ave. SW Rm G640 Washington, D.C. 20201 Fax: 202-205-6061 Email: quintin.hackshaw@hhs.gov

All questionnaires shall be submitted via facsimile or by email no later than the closing date and time and referenced in this solicitation. The Government reserves the right not to mailto:quintin.hackshaw@hhs.gov

Solicitation No. 13-100-SOL-00004 Amendment No. 0003 consider any past performance questionnaires that are received after the due date or by means other than facsimile or email.

b. Under Section J, Attachment # 9: Past Performance Questionnaire, page 1 is herby deleted and replaced with the following:

See separate attachment (please note this replaces page 1 of 3 only of Attachment No. 9, all pages of Attachment No. 9 should be completed prior to submission)

13-100-SOL-00004

FFMN

ATTACHMENT #9

PAST PERFORMANCE QUESTIONNAIRE

Please complete the following questionnaire and return via regular fax or email to the attention of:

Quintin Hackshaw CONTRACT SPECIALIST by no later than April 5, 2013.

(Name) (Title) (Date)

330 INDEPENDENCE AVENUE, SW, ROOM G640, WASHINGTON, DC 20201

(Address)

202/205-6061 quintin.hackshaw@hhs.gov (Fax Number) (Email) This survey pertains to:

Department/Component:

Contract Number:

Date of Survey:

(VENDOR NAME)

Name of Person Completing Survey:

Signature of Person Completing Survey:

Your Company/Agency:

Your Role in this Contract (circle one):

Contracting Officer Contract Specialist Project Officer Other Contract Value (including options): $ Performance Period:

(including option periods) Type of Contract:

Approximate percentage of work being performed (or completed) by subcontractor(s): % Information on subcontractor(s) (where more than % of work was completed by the subcontractor):

Subcontractor Program Manager Phone

Subcontractor Program Manager Phone General description of products/services required under the contract:

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