DRAFT - Exhibit C - Past Performance Summary Sheet FINAL.pdf
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- Attached to
- Clinical Reference Laboratory Testing Services
- Solicitation number
- HT001526RE001DRAFT
- Issued by
-
Defense Health Agency
About this file
Summary of Exhibit C – Past Performance Summary Sheet
This document is a template form for submitting past performance references in response to RFP HT0015-26-R-E001. Offerors must complete one summary sheet per past performance reference, with a maximum of two pages per project. The form requests comprehensive information to evaluate contractor experience and performance history relevant to the solicitation requirements.
The template requires offerors to provide company identification (Company Name, CAGE, UEI, and designation as Prime or Subcontractor); contract identification details (Contract Number or Task Order number, period of performance, and contract type); current government points of contact from both the contracting office and customer, including email addresses and phone numbers; and a description of relevancy that includes service location, scope of work, and complexity/magnitude of the effort. Additionally, offerors must disclose the contractor or task order award amount broken down by base year and each option year (Options 1-4); the current project status including performance reporting status, years successfully completed, and any terminations or scope modifications; and pricing information consisting of both the price at award and the final or projected final price. The form emphasizes that IDIQ basic contract numbers should not be provided; instead, offerors must reference the specific task order number under which work was completed.
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Text version
Solicitation Number
RFP HT001526RE001
Exhibit C
Exhibit C – Past Performance Summary Sheet
Provide the following information for each past performance reference in accordance with RFP HT0015-26-R-E001 Instructions to Offerors for Volume II. Use one Summary sheet per past performance reference. Limit two (2) pages per project.
Company Name, CAGE, UEI, and Prime or Subcontractor:
Company Name:
CAGE:
UEI:
Prime or Subcontractor?
Contract Number or Task Order number, contract period of performance, and Contract Type:
Do not provide IDIQ basic contract numbers. Projects provided under an IDIQ shall reference the Task Order number from which the work was completed.
Contract Number:
Period of performance:
Contract Type:
Current point of contact (POC):
Provide current email address(es) and phone number(s). Provide two Government POCs if possible, one from the contracting office and one from the customer.
1.
2.
Description of relevancy:
Provide the scope, location of services, and the complexity/magnitude for this effort.
Location:
Description of Scope:
Description of Complexity and Magnitude:
Contract or Task Order Award Amount (Base and Options):
List the amount of the base year and each option year on the contract.
Base year:
Option 1:
Option 2:
Option 3:
Option 4:
Status of the project:
Identify status of performance reporting and how many years have successfully been completed. Identify any terminations or modifications for scope change.
Awarded Price and Final/Projected Final Price:
1. Price at award
2. Final or Projected Final Price:
Company Name, CAGE, UEI, and Prime or Subcontractor:
Company Name:
CAGE:
UEI:
Prime or Subcontractor?
Contract Number or Task Order number, contract period of performance, and Contract Type:
Do not provide IDIQ basic contract numbers. Projects provided under an IDIQ shall reference the Task Order number from which the work was completed.
Contract Number:
Period of performance:
Contract Type:
Current point of contact (POC):
Provide current email address(es) and phone number(s). Provide two Government POCs if possible, one from the contracting office and one from the customer.
1.
2.
Description of relevancy:
Provide the scope, location of services, and the complexity/magnitude for this effort.
Location:
Description of Scope:
Description of Complexity and Magnitude:
Contract or Task Order Award Amount (Base and Options):
List the amount of the base year and each option year on the contract.
Base year:
Option 1:
Option 2:
Option 3:
Option 4:
Status of the project:
Identify status of performance reporting and how many years have successfully been completed. Identify any
Company Name, CAGE, UEI, and Prime or Subcontractor:
Company Name:
CAGE:
UEI:
Prime or Subcontractor?
Contract Number or Task Order number, contract period of performance, and Contract Type:
Do not provide IDIQ basic contract numbers. Projects provided under an IDIQ shall reference the Task Order number from which the work was completed.
Contract Number:
Period of performance:
Contract Type:
Current point of contact (POC):
Provide current email address(es) and phone number(s). Provide two Government POCs if possible, one from the contracting office and one from the customer.
1.
2.
Description of relevancy:
Provide the scope, location of services, and the complexity/magnitude for this effort.
Location:
Description of Scope:
Description of Complexity and Magnitude:
Contract or Task Order Award Amount (Base and Options):
List the amount of the base year and each option year on the contract.
Base year:
Option 1:
Option 2:
Option 3:
Option 4:
Status of the project:
Identify status of performance reporting and how many years have successfully been completed. Identify any
| Status of the project Identify status of performance reporting and how many years have successfully been completed Identify any terminations or modifications for scope changeRow1: |
| Status of the project Identify status of performance reporting and how many years have successfully been completed Identify any terminations or modifications for scope changeRow1_2: |
| Status of the project Identify status of performance reporting and how many years have successfully been completed Identify any terminations or modifications for scope changeRow1_3: |
| Awarded Price and FinalProjected Final Price_3: |
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