Attachment 5 - Past Performance Information.doc
DOC document 28 KB Posted
- Solicitation number
- HT0011-11-R-0003
- Issued by
-
Defense Health Agency
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HT0011-11-R-0003 Attachment 5 - Past Performance Information
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| File | Type | Posted |
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| HT0011-11-R-0003 Pacific JITC Solicitation | — | |
| Attachment 6 - Labor Categories and Descriptions.doc | DOC document | |
| Attachment 3 - DD254 | — | |
| Attachment 4 - Past Performance Cover Letter and Questionnaire.doc | DOC document | |
| Attachment 7 - Sample Task Orders.doc | DOC document | |
| Attachment 1 - Statement of Objectives Version 1 8.25.11.doc | DOC document |
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HT0011-11-R-0003
Attachment 5 – Past Performance Information
[Offeror Information]
Company Name:
Division Name:
Street Address:
City, State, Zip Code:
Commercial and Government Entity (CAGE) Code:
Data Universal Numbering System (DUNS) +4 Number:
Federal Supply Code (FSC):
North American Industry Classification System (NAICS) Code:
Report Type:
Period of Performance Being Assessed:
From _________ To: __________
Contract Number:
Order Number:
DoD Business Sector and Sub-Sector:
Location of Contract Performance:
Contracting Office:
Contracting Officer:
Name:
Phone:
Contract Award Date:
Contract Completion Date:
Contract Percent Complete:
Awarded Dollar Value:
Current Dollar Value:
Basis of Award:
Type of Contract:
Program Title and Phase of Acquisition:
Contract Effort Description:
Key Subcontractor(s):
Contractor Name:
CAGE Code:
DUNS+4 Number:
Effort Performed:
Assessing Official:
Name:
Title:
Organization and Code:
Phone: Fax:
E-mail:
Date:
Contractor Representative:
Name:
Title:
Organization and Code:
Phone: Fax:
E-mail:
Date:
Reviewing Official:
Name:
Title:
Organization and Code:
Phone: Fax:
E-mail:
Date:
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