Attch 4 Past Performance Information RFQ CPE Administrative Assistant.docx
DOCX document 23 KB Posted
- Solicitation number
- FA301624Q5142
About this file
This document is a Past Performance Reference List template to be used as Attachment 4 for RFQ # FA301624Q5142 for Clinical Pastoral Education (CPE) Administrative Assistant services. The RFQ is seeking a full-time equivalent (FTE) Clinical Pastoral Education (CPE) Assistant to provide support to chaplain residents at the Department of Defense Military Treatment Facilities in San Antonio, Texas. The contractor must work within the government-provided facilities and use government-provided equipment. The template requests offerors to provide information on previous relevant contracts, including contract number, description of work performed, period of performance, contracting agency/customer, contract values, and any functions, tasks, or third-party impacts on performance. If the offeror performed as a subcontractor, affiliate, or joint venture, additional details on the percentage of work, cost splitting, and services performed are required. This past performance information will be used to evaluate the offeror's capability to successfully perform the required services.
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Text version
Clinical Pastoral Education (CPE) Educator
RFQ # FA301622U0031
Attachment 4
Clinical Pastoral Education (CPE) Educator
RFQ # FA301622U0031
Attachment 4
Description: Clinical Pastoral Education (CPE) Administrative Assistant
RFQ #: FA301624Q5142
Attachment: 4
PAST PERFORMANCE REFERENCE LIST
Company Name: _______________ CAGE CODE: ______ TIN: ________ Duns Number: ________
CONTRACT NUMBER
(include task order number(s) if applicable)
DESCRIPTION OF WORK PERFORMED
(Performed as a prime/sub-contractor, details i.e. number of FTE, position type, fulltime or session-based, %performed, etc.)
CONTRACT PERIOD
OF PERFORMANCE (PoP)
CONTRACTING AGENCY
POC/CUSTOMER NAME, PHONE # & EMAIL
CONTRACT VALUES
(include total contract amount, annual amount and PoP for annual amount)
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CONTRACT NUMBER
(include task order number(s) if applicable)
DESCRIBE FUNCTION/TASK/3RD PARTY AFFECT ON PERFORMANCE
If contractor proposing on this effort provided past performance they performed as a Subcontractor, Affiliate, or Joint Venture, include percentage of work, splitting of cost, type of services performed, i.e. accounting, recruiting, etc. for that effort (provide information below), value of the subcontract for each year.
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File details come from the government source that posted it. Updated .