Past Performance Information Form.doc

DOC document 33 KB Posted

Attached to
BUMED Mission Assurance Support Services
Solicitation number
N0018926QB083
Issued by

About this file

This is a Past Performance Information Form template used to collect contractor historical performance data for evaluation purposes. The form requests comprehensive information about an offeror's relevant past contracts, including the contract identifier, customer name and point of contact, total dollar value expended over the past five years, and average full-time equivalent (FTE) personnel deployed annually. Offerors must provide the period of performance dates and a detailed description of work performed demonstrating relevance to the current solicitation, along with documentation of any quality, delivery, or cost problems encountered and the corrective actions implemented to address them.

The form also requires disclosure of any subcontractors utilized during contract performance, including descriptions of their work scope and annual subcontract dollar values. This template is associated with the BUMED Mission Assurance Support Services solicitation (N0018926QB083), a Department of the Navy Naval Supply Systems Command opportunity requiring contractor support for Personnel Security, Suitability and Fitness determinations, and Emergency Management functions through the Health and Human Services Federal Coordinating Center. The contractor shall provide expert services for Navy Medicine policy development, criminal history background checks for childcare service providers under DoD programs, maintain operational readiness and policy compliance, and ensure coordination across interagency and internal Navy stakeholders in accordance with applicable federal regulations and guidance.

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Other files

File Type Posted
DD254 Mission Assurance.pdf PDF
Solicitation Amendment N0018926QB0830001 SF 30.pdf PDF
Performance Work Statement Final.docx DOCX document
N0018926QB083 Questions and Answer Final.xlsx XLSX spreadsheet
Solicitation - N0018926QB083.pdf PDF
Performance Work Statement.docx DOCX document

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Text version

Current As Of: 06/17/2008

PAST PERFORMANCE INFORMATION FORM
Form ___ of ___

Name of Offeror:

Contract Number, order number, or identifier:

Customer Name & Location:

Customer Point of Contact (Name & Title):

Telephone Number (PLEASE VERIFY):

and e-mail address

Total dollar amount for this effort during the past five (5) years:

(For ordering vehicles, show both the annual estimated contract amount and the amount of orders actually performed):

(Show calendar year and dollars)

Number of personnel (FTE) performing per year (avg.):

Period of Performance:
From:

To:

Detailed description of the work performed sufficient to demonstrate the relevance of the reference to the solicitation:

Quality, delivery, or cost problem(s); corrective action(s) taken; and effectiveness of the corrective action(s):

Subcontractor(s) Utilized in Performance of this contract, description of the extent of work performed by subcontractor(s), along with annual dollar value of all subcontracts:

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