EXHIBIT 11 BH TBI PWS Contractor Performance Status Excel Sheet.xlsx

XLSX spreadsheet 87 KB Posted

Attached to
Behavioral Health Traumatic Brain Injury -Europe Solicitation
Solicitation number
W9114F23R0002
Issued by

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This document contains a performance tracking template for a task order under a contract to provide behavioral health and traumatic brain injury services to the Department of the Army Medical Command in Europe. The template tracks task order details like award dates, contract line items, locations of service, labor categories, staffing levels, and performance metrics. It also includes sections to report monthly government actions, such as letters of concern, and quality assurance package submissions and approvals. The related federal contract opportunity is a follow-on solicitation to provide personal and non-personal qualified health care workers to Landstuhl Regional Medical Center and other overseas medical facilities in support of behavioral health and traumatic brain injury services.

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File Type Posted
EXHIBIT 8 BH TBI PWS HCW Minimum Qualifications REV 1.docx DOCX document
W9114F23R0002-0001 BH TBI 19Jan2023 Amendment.pdf PDF
EXHIBIT 1 BH TBI PWS HCW -Labor Categories Personal and Non Personal Sevices REV1.docx DOCX document
Attachment 3 BH TBI Individual Labor Category Pricing REV1.xlsx XLSX spreadsheet
EXHIBIT 10 BH TBI PWS Contractor Performance Status Report REV 1.docx DOCX document
Attachment 7 - Draft QASP.docx DOCX document
Attachment 1_Contractor_ Questions Sheet.xlsx XLSX spreadsheet
Attachment 6-Performance Risk Assessment Questionnaire Cover Letter.docx DOCX document
EXHIBIT 2 BH TBI PWS-LEIE OTSG MEDCOM.pdf PDF
EXHIBIT 8 BH TBI PWS HCW Minimum Qualifications.docx DOCX document
EXHIBIT 3 BH TBI PWS Ordering Locations.docx DOCX document
EXHIBIT 10 BH TBI PWS Contractor Performance Status Report.docx DOCX document
Attachment 8 Non Conformance Report Worksheet.docx DOCX document
Attachment 4 BH TBI Example Comp_Plan_ Composite Rates.xlsx XLSX spreadsheet
W9114F23R0002 BH TBI_15DEC22 SAM.GOV.pdf PDF
Attachment 2_Contractor Information Sheet.xlsx XLSX spreadsheet
Attachment 5 -Performance-Risk-Assessment Questionaire.docx DOCX document
EXHIBIT 12 BH TBI PWS Historical Awarded Data.pdf PDF
EXHIBIT 4 BH TBI PWS HCW Prospective Locations List.docx DOCX document
Attachment 3 BH TBI Individual Labor Category Pricing.xlsx XLSX spreadsheet
EXHIBIT 9 BH TBI PWS Deliverable Schedule.docx DOCX document
EXHIBIT 1 BH TBI PWS HCW -Labor Categories Personal and Non Personal Sevices.docx DOCX document
EXHIBIT 5 BH TBI PWS Performance Requirements Summary.docx DOCX document
EXHIBIT 6 BH TBI PWS Travel Authorization Report.docx DOCX document
EXHIBIT 7 BH TBI PWS - Travel Expense Report.docx DOCX document
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Task Order

TO_NumberTaskOrderAwardDateCLINCLIN_Labor_CategoryPersonal or Non-Personal ServicesCLINStartDateCLINEndDatePerformance_LocationServiceBranch- Ordering Office and POCCOR POCFTERequiredWorkerStartDateInitialUpdateOverFillRateAQL_PackageAQL_LOIAAQL_Customer_SatCLINHourlyRateFundingStatusFunding_ExpirationDatePrime or SubcontractSubcontractor
NameTO

Subcontract Value ($)

Worker LineNo Contractor BadgeNumber InitialofFirstName LastName InitialUpdate

RECOMMEND NO PRIVACY INFO
Instead of first/last name, ONLY first initial and last name

Assignment LineNo AssignmentID TO_Number CLIN LaborCategoryOrService Location BadgeNumber AssignmentFTE AssignmentStart AssignmentEnd ReplacedBadge Substitute ReplacedAssignmentID

Task Order Packages LineNo Package ID or TO_Number CLIN Labor_Category Location WorkerBadgeNumber Package_Type (Qualifying or Credentials) InitialResubmit Package_Submission_Date Gov_Acceptance_Date GOV_Acceptor (COR,TOKO) Government Flag to consider compliant

NOTES FOR CALCULATION
Report only after submitted to Government
Each entry will be a record in the table
Must have an initial submission (Column I)
Resubmit (rework due to poor quality of package)
Only a resubmit can be flagged to not count (both numerator & demoninator)

Monthly QCP Reports

COMPLETE ACCORDING TO QCP

Government_Actions

Monthly Government Actions
Instructions: Fill in the Government Actions issued or required during the month beginning on line 6
Company Name:
Contract Number:
r Task Order NumberCLINLocationLabor CategoryType of Issue (i.e. Informal Issue ( local performance assessment report [PAR]), letter of concern, Cure Notice or Termination actions, Request for Government Delay, Correction)Date of Issue (mm-dd-yy)Narrative Explanation (BLUF, Company Action, Resolution Plan)Task Order POC (name, phone number, and title)

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