Attachment 3 -Corporate Experience Form.docx

DOCX document 22 KB Posted

Attached to
Medical Courier Services // 355th Medical Group
Solicitation number
HT941026Q2039
Issued by

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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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 .