Attachment_5_Past_Performance_Reference.docx

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Emergency Medical Personnel
Solicitation number
M6890917Q7628
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M6890917Q7628 - Attachment 5 - Past Performance Reference

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Attachment 5 – Past Performance Reference

Instructions: Complete this form for each contract/program submitted for evaluation. Provide frank, concise comments regarding your performance on the contracts identified. The complete form will count towards the five (5) page limit for each Past Performance Reference.

1. Contractor Information Name Address Phone Email DUNS CAGE Code

2. Contract/ Task Order (TO) Information Title Contract/TO Number Contracting Agency/Customer Period of Performance (PoP) Start End If PoP has changed, explain Contract/TO Value M68909-17-Q-7628

Contract Type (Please check one box from each column)

Firm-Fixed Price

Cost Plus Fixed FeeIndependent Contract
Labor HourIDIQ Contract Time and Materials

Other, Specify:

3a. Describe the nature or portion of work performed by this company.

3b. This work performed as a: Prime contractor Subcontractor Corporate Division Team/Joint Venture

3c. What was the percentage of work performed by this company?

3d. If you were not the Prime, provide Prime Contractor’s information: Prime Contractor Name Address Phone Email DUNS CAGE Code

4. Reference contact information: Provide two (2) points of contact most knowledgeable of the submitted contract. For Government contracts, points of contacts may include Program Manager, Project/Task Manager, Contracting Officer, and Administrative Contracting Office. For commercial contracts, provide two (2) points of contact fulfilling these same roles.

Name
Position
Organization
Phone
Email

5. Provide a brief description of the service provided under this contract. Identify problems encountered and efforts taken to resolve problems, as well as efforts to identify and manage program risks. Clearly demonstrate management actions employed in overcoming problems and the effects of those actions in terms of improvements achieved or problems solved.

6. Describe the quality of your performance of this effort.

7. Describe in detail how your experience on this program applies to the relevancy criteria identified in Section M.

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