Exhibit C - DRAFT Past Performance Summary Sheet.docx
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- Attached to
- Clinical Reference Laboratory Testing Services
- Solicitation number
- HT001526RE001
- Issued by
-
Defense Health Agency
About this file
This is a Past Performance Summary Sheet template for RFP HT001526RE001, the Clinical Reference Laboratory Testing Services (CRLTS) solicitation issued by the Defense Health Agency. The template provides a standardized format for offerors to document their relevant past performance on up to three similar projects. Each project entry requires offerors to supply company identifying information (Company Name, CAGE code, and UEI), contract details including contract number or task order number and period of performance, contract type classification, and current government points of contact from both the contracting office and customer organization with email addresses and phone numbers. Offerors must describe the relevancy of each past performance project by detailing the scope of work, service location, and complexity/magnitude of the effort, along with contract award amounts broken down by base year and up to four option years, and final or projected final pricing.
The template also requires offerors to document project status, including the number of successfully completed years, any contract terminations, or scope modifications. The document limits each past performance reference to two pages maximum and emphasizes that offerors should not provide IDIQ basic contract numbers but instead reference specific task order numbers under which work was completed. This summary sheet is intended to help the Government evaluate offerors' qualifications and experience in delivering clinical reference laboratory testing services to military treatment facilities, which is a critical capability requirement for this multi-year procurement.
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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-0001 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 terminations or modifications for scope change.
Awarded Price and Final/Projected Final Price:
1. Price at award
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
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