Attachment 09A_Reference Information Sheet_Summary Data_Template.pdf

PDF 2 MB Posted

Attached to
Air Force Drug Testing Laboratory Support Services Federal contract opportunity
Solicitation number
FA805220R0001
Issued by
Department of the Air Force Materiel Command Installation and Mission Support Center Installation Contracting Agency

About this file

This document includes an attachment template and information on a federal contract solicitation. The attachment template provides a table for offerors to list contract references for past performance evaluation on a solicitation. It requests the identifying number, CAGE code, whether the offeror performed as prime or subcontractor, and how past performance will be obtained, either through the Past Performance Information Retrieval System or a past performance questionnaire.

The related federal contract solicitation is for Air Force Drug Testing Laboratory support services. It seeks quotations for nineteen full-time equivalents in roles including Medical Laboratory Technician-Team Lead, Medical Laboratory Technicians for specimen processing, data entry clerks, analytical scientists, and information technology support. The support services are for one of six Department of Defense laboratories conducting the Drug Demand Reduction Program. The period of performance is at the Air Force Drug Testing Laboratory located in Joint Base San Antonio-Lackland, Texas.

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Text version

ATTACHMENT _____ - REFERENCE INFORMATION SHEET - SUMMARY DATA

SOLICITATION # ____________________

Offeror: _____________________________________________________________________________

Division (if applicable): ________________________________________________________________

Point-of-contact Information:

Name: ______________________________________________________________________________

Telephone: ___________________________________________________________________________

Email: ______________________________________________________________________________

In the table below, identify the contract references submitted for Past Performance evaluation:

Identifying Number CAGE Code Performed Work as Method for Obtaining Past Performance Prime or Sub PPIRS Questionnaire Prime or Sub PPIRS Questionnaire Prime or Sub PPIRS Questionnaire

Note: If the Offeror’s Contractor Performance Assessment Report (CPAR) for the contract(s) referenced is located in the PPIRS, it is not necessary for a Past Performance Questionnaire to be submitted.

Identifying NumberRow1: Identifying Number
CAGE CodeRow1:
Prime or: Off
Sub: Off
PPIRS: Off
Questionnaire: Off
Identifying NumberRow2: Identifying Number
CAGE CodeRow2:
Prime or_2: Off
Sub_2: Off
PPIRS_2: Off
Questionnaire_2: Off
Identifying NumberRow3: Identifying Number
CAGE CodeRow3:
Prime or_3: Off
Sub_3: Off
PPIRS_3: Off
Questionnaire_3: Off
Identifying NumberRow4: Identifying Number
CAGE CodeRow4:
Prime or_4: Off
Sub_4: Off
PPIRS_4: Off
Questionnaire_4: Off
Identifying NumberRow5: Identifying Number
CAGE CodeRow5:
Prime or_5: Off
Sub_5: Off
PPIRS_5: Off
Questionnaire_5: Off
Attachment Number: 09A
Solicitation Number: FA8052-20-R-0001
Offeror Name: Insert Offeror Name
Offeror Address Line 1: Insert Offeror Address, Line 1
Offeror Address Line 2: Insert Offeror Address, Line 2
Division: Insert Offeror Division or Delete Text
POC Name: Insert POC Name
POC Telephone: Insert POC Telephone
POC Email: Insert POC Email

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