Exhibit B - Past Performance References Form.pdf

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Request for Proposals: On-Premises Intellectual Property (IP) and Technology Transfer (T2) Database and Related Services
Solicitation number
HT9425-25-R-0051
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The document is an Exhibit B Past Performance References form, which provides a template for offerors to document their previous contract performance. The form is part of a Request for Proposals (RFP) HT9425-25-R-0051 by the United States Army Medical Research Acquisition Activity (USAMRAA) for an on-premises Intellectual Property (IP) and Technology Transfer (T2) Database and Related Services. The form allows vendors to detail up to three past performance references, including information such as contract organization, contract numbers, contract type, total awarded price, performance period, contracting officer details, and a description of the requirement's relevance to the current solicitation. Vendors are also required to explain any performance issues, corrective actions taken, and results from those actions, with specific instructions to address any issues noted in Contractor Performance Assessment Reporting System (CPARS) reports.

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Request for Proposal (RFP) HT9425-25-R-0051_Amendment 03.pdf PDF
Attachment 1 - Performance Work Statement (PWS) HT9425-25-R-0051_updated for Amendment 03.pdf PDF
Request for Proposal (RFP) HT9425-25-R-0051_Amendment 02.pdf PDF
Attachment 1 - Performance Work Statement (PWS) HT9425-25-R-0051_updated for Amendment 02.pdf PDF
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Attachment 2 - Quality Assurance Surveillance Plan.docx DOCX document
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Attachment 1 - Performance Work Statement (PWS) HT9425-25-R-0051.pdf PDF
Exhibit E - Pricing Sheet.xlsx XLSX spreadsheet
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Attachment 3 - GFP Listing.pdf PDF
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Request for Proposal (RFP) HT9425-25-R-0051.pdf PDF
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EXHIBIT B: 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

No record of relevant or recent past performance:
OFFEROR NAME:
COMPANY who performed this work:
OFFEROR: Off
PROPOSED SUBCONTRACTOR: Off
undefined:
PRIME:
SUBCONTRACTOR:
Name of Contracting Organization:
Contract Task Order Number for subcontracts provide the prime contract number and the subcontract number:
Contract Type:
Total Awarded PriceCost:
Final or Projected Final Total PriceCost:
Delivery datePeriod of performance including base and options if applicable:
Contracting Officers Name Email and Telephone Number:
Program Managers Name Email and Telephone Number:
North American Industry Classification System NAICS Code:
CPARSPPIRS Completed:
undefined_2:
YES:
NO:
Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations 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:
OFFEROR NAME_2:
COMPANY who performed this work_2:
OFFEROR_2:
PROPOSED SUBCONTRACTOR_2:
undefined_3:
PRIME_2:
SUBCONTRACTOR_2:
Name of Contracting Organization_2:
Contract Task Order Number for subcontracts provide the prime contract number and the subcontract number_2:
Contract Type_2:
Total Awarded PriceCost_2:
Final or Projected Final Total PriceCost_2:
Delivery datePeriod of performance including base and options if applicable_2:
Contracting Officers Name Email and Telephone Number_2:
Program Managers Name Email and Telephone Number_2:
North American Industry Classification System NAICS Code_2:
CPARSPPIRS Completed_2:
undefined_4:
YES_2:
NO_2:
Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements_2:
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_2:
OFFEROR NAME_3:
COMPANY who performed this work_3:
OFFEROR_3:
PROPOSED SUBCONTRACTOR_3:
undefined_5:
PRIME_3:
SUBCONTRACTOR_3:
Name of Contracting Organization_3:
Contract Task Order Number for subcontracts provide the prime contract number and the subcontract number_3:
Contract Type_3:
Total Awarded PriceCost_3:
Final or Projected Final Total PriceCost_3:
Delivery datePeriod of performance including base and options if applicable_3:
Contracting Officers Name Email and Telephone Number_3:
Program Managers Name Email and Telephone Number_3:
North American Industry Classification System NAICS Code_3:
CPARSPPIRS Completed_3:
undefined_6:
YES_3:
NO_3:
Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements_3:
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_3:

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