B01_Attachment_5_Past_Performance_Information_Sheet.docx
DOCX document 15 KB Posted
- Attached to
- Lab Industrial Hygiene (IH) Sample Analysis Federal contract opportunity
- Solicitation number
- HT942524Q0030
- Issued by
- Defense Health Agency
About this file
This document is a past performance information sheet template for a federal solicitation. The template requires contact information for past performance references, including name, title, phone number, email, agency name, and address. It also requires the contract number, award value including options, whether the reference works directly for or indirectly with the offeror, names and CAGE/SAM codes of awardees and contractors, the offeror's role, dates of service, purchasing organization, scope and type of services provided including dollar values and tasks, similarities to the current solicitation requirements, and any problems encountered with corrective actions.
The related federal contract opportunity is a solicitation from the Defense Health Agency to provide analyses on Industrial Hygiene and Occupational Health samples for various compounds. The agency is Defense Centers of Public Health - Aberdeen and they require the analyses and results on samples.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| B01. HT942524Q0030 0005.pdf | ||
| B01. HT942524Q0030 0004.pdf | ||
| B01. HT942524Q0030 0003.pdf | ||
| B01_Attachment_7_DHA_Form_41.docx | DOCX document | |
| B01_Attachment_2_QASP.pdf | ||
| HT942524Q0030 0001.pdf | ||
| B01_Attachment_6_Price_Sheet.xlsx | XLSX spreadsheet | |
| B01_Acronyms_List_PWS_Attachment_1.pdf | ||
| B01_Attachment_3_Limits_of_Quantitation.xlsx | XLSX spreadsheet | |
| HT942524Q0030 0002.pdf | ||
| B01. Combined Synopsis_Solicitation HT942524Q0030.pdf | ||
| B01_Attachment_4_Final_Reporting_Requirements_v2.docx | DOCX document |
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Text version
PAST PERFORMANCE INFORMATION SHEET
1. POC information: name, title, phone number, e-mail address, agency name, and address.
2. Contract Number and Task Order (if applicable) number. 3. Award Value (including Options)
4. Does this POC work directly for the Offeror, or indirectly (i.e., in a prime/ subcontractor or mentor/protégé relationship, etc.)?
5. Name of contractor to whom the contract was awarded. Name of contractor who provided the services, if different from awardee. Provide the CAGE Code and SAM Unique Entity ID numbers of both the awardee and the contractor who provided the services.
6. Describe the Offeror’s role - prime, subcontractor, partner, mentor, protégé, etc.
7. Dates when services were provided.
8. Name of Organization that purchased the services.
9. List the scope and type of services provided. The Offeror shall list specific services, the dollar value of items provided (if different from award value), and a detailed description of the services provided and tasks performed.
10. Explain how the effort is similar to the requirements (completed services tasks) of this solicitation.
11. Problems encountered and the Offeror’s corrective actions (if applicable).
File details come from the government source that posted it. Updated .