Attachment 3 -Corporate Experience Form.docx
DOCX document 22 KB Posted
- Attached to
- Medical Courier Services // 355th Medical Group
- Solicitation number
- HT941026Q2039
- Issued by
-
Defense Health Agency
About this file
This is a Corporate Experience Form template designed for offerors to document relevant past contract performance in response to the Medical Courier Services solicitation (HT941026Q2039) issued by the Defense Health Agency for the 355th Medical Group.
The form is structured to capture essential contract history information across four sections: offeror identification (company name, CAGE code, business size), reference contract details (project title, contract number, awarding agency, period of performance, total value, and contract status), customer point of contact information, and relevance assessment. Section 4 requires offerors to provide a brief narrative describing services performed under the referenced contract and explain how those services directly relate to the Performance Work Statement (PWS) of the current solicitation for medical courier services. The form serves as a mechanism for evaluators to assess an offeror's corporate experience and qualification to perform specimen transport services involving frozen, refrigerated, or ambient samples between the 355th Medical Group and the Veterans Administration Southern Arizona Health Care facility in Tucson, Arizona.
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Other files
| File | Type | Posted |
|---|---|---|
| 2nd CSS HT941026Q2039 QA Redacted.pdf | ||
| Exhibit A - Price Worksheet.xlsx | XLSX spreadsheet | |
| CSS Full and Open SB SetAside.pdf | ||
| Service_Contract_Act_WD_2015 5473_Rev 28_Dated13May2026.pdf | ||
| Medical Courier PWS Updated 14 Jul 26 (003).pdf |
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Text version
ATTACHMENT [3]: CORPORATE EXPERIENCE FORM
SECTION 1: OFFEROR INFORMATION
· Offeror / Company Name:
· CAGE Code / UEI:
· Business Size:
SECTION 2: REFERENCE CONTRACT DETAILS
· Project / Contract Title:
· Contract / Task Order Number:
· Awarding Agency / Commercial Customer:
· Customer Agency:
· Offeror's Role [Prime / Subcontractor / Joint Venture]:
· Period of Performance:
· Total Contract Value:
· Place of Performance:
· Contract Status [Completed / Active]:
SECTION 3: CUSTOMER POINT OF CONTACT (POC)
· Name / Title:
· E-mail / Telephone:
SECTION 4: RELEVANCE AND SCOPE OF WORK
4A. Brief Description of Services Performed [Provide a brief narrative of the services performed under this contract]:
4B. Relevance to Current Solicitation [Explain how the services performed under this contract relate to the PWS of the current solicitation]:
File details come from the government source that posted it. Updated .