Atch 3 PerfReferences FA5613-11-R-0005.xlsx

XLSX spreadsheet 15 KB Posted Apr 29, 2011

Attached to: Medical Coding Auditing and Training Services Federal contract opportunity
Solicitation number: FA5613-11-R-0011
Issued by: Department of the Air Force Materiel Command Installation and Mission Support Center Installation Contracting Agency

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Past and Present Performance References

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Other files for this federal contract opportunity

Other files attached to Medical Coding Auditing and Training Services, newest first.
File	Type	Posted
Atch 7 AFMSA Coding Audit Methodology.pdf	PDF	May 23, 2011
FA5613-11-R-0011 Consolidated QA.doc	DOC document	May 20, 2011
Atch 6 SPECIAL CONTRACT REQUIREMENTS.doc	DOC document	Apr 29, 2011
Synopsis-Solicitation 2011 04 26.doc	DOC document	Apr 29, 2011
Atch 1 Price Schedule.doc	DOC document	Apr 29, 2011
Atch 2 USAFE Ambulatory Medical Coding Audit Services PWS_14 Mar 11.docx	DOCX document	Apr 29, 2011

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Sheet1

PAST AND PRESENT PERFORMANCE REFERENCES

OFFEROR INFORMATION

Please complete the following information and return with offer in response to this solicitation.

OFFEROR'S NAME
	ADDRESS
		TELEPHONE NUMBER

POINT OF CONTACT
	CONTACT'S TITLE
		FAX NUMBER

REFERENCE INFORMATION

INSTRUCTIONS: Please provide at least three recent and relevant contract past performance references. Definitions for recent and relevant can be found in the addendum to FAR 52.212-2, Evaluation - Commercial Items (Jan 1999)

FIRST REFERENCE
CONTRACTING AGENCY				ADDRESS
PRIMARY POINT OF CONTACT			TELEPHONE NUMBER		FAX NUMBER
ALTERNATE POINT OF CONTACT			TELEPHONE NUMBER		FAX NUMBER
CONTRACT NUMBER	CONTRACT/PROGRAM TITLE
TYPE OF CONTRACT		PERIOD OF PERFORMANCE			CONTRACT VALUE
BRIEF DESCRIPTION OF CONTRACT EFFORT
Comments regarding compliance with contract terms and conditions:
Comments regarding any known performance determined unacceptable to the customer, or not in accordance with contract terms and conditions.
SECOND REFERENCE
CONTRACTING AGENCY				ADDRESS
PRIMARY POINT OF CONTACT			TELEPHONE NUMBER		FAX NUMBER
ALTERNATE POINT OF CONTACT			TELEPHONE NUMBER		FAX NUMBER
CONTRACT NUMBER	CONTRACT/PROGRAM TITLE
TYPE OF CONTRACT		PERIOD OF PERFORMANCE			CONTRACT VALUE
BRIEF DESCRIPTION OF CONTRACT EFFORT
Comments regarding compliance with contract terms and conditions:
Comments regarding any known performance determined unacceptable to the customer, or not in accordance with contract terms and conditions.
THIRD REFERENCE
CONTRACTING AGENCY				ADDRESS
PRIMARY POINT OF CONTACT			TELEPHONE NUMBER		FAX NUMBER
ALTERNATE POINT OF CONTACT			TELEPHONE NUMBER		FAX NUMBER
CONTRACT NUMBER	CONTRACT/PROGRAM TITLE
TYPE OF CONTRACT		PERIOD OF PERFORMANCE			CONTRACT VALUE
BRIEF DESCRIPTION OF CONTRACT EFFORT
Comments regarding compliance with contract terms and conditions:
Comments regarding any known performance determined unacceptable to the customer, or not in accordance with contract terms and conditions.
FOURTH REFERENCE
CONTRACTING AGENCY				ADDRESS
PRIMARY POINT OF CONTACT			TELEPHONE NUMBER		FAX NUMBER
ALTERNATE POINT OF CONTACT			TELEPHONE NUMBER		FAX NUMBER
CONTRACT NUMBER	CONTRACT/PROGRAM TITLE
TYPE OF CONTRACT		PERIOD OF PERFORMANCE			CONTRACT VALUE
BRIEF DESCRIPTION OF CONTRACT EFFORT
Comments regarding compliance with contract terms and conditions:
Comments regarding any known performance determined unacceptable to the customer, or not in accordance with contract terms and conditions.
FIFTH REFERENCE
CONTRACTING AGENCY				ADDRESS
PRIMARY POINT OF CONTACT			TELEPHONE NUMBER		FAX NUMBER
ALTERNATE POINT OF CONTACT			TELEPHONE NUMBER		FAX NUMBER
CONTRACT NUMBER	CONTRACT/PROGRAM TITLE
TYPE OF CONTRACT		PERIOD OF PERFORMANCE			CONTRACT VALUE
BRIEF DESCRIPTION OF CONTRACT EFFORT
Comments regarding compliance with contract terms and conditions:
Comments regarding any known performance determined unacceptable to the customer, or not in accordance with contract terms and conditions.

&8Solicitation No. FA5613-11-R-0005 &8Attachment 4 Page &P of &N

&8"FOR OFFICIAL USE ONLY"

(When filled in, this document is Source Selection Sensitive information)

Sheet2

Sheet3

File details come from the government source that posted it. Updated Nov 14, 2017.