Attachment_7_-_Past_Performance_Information_Sheet.doc

Past Performance Information Sheet

1. POC information: name, title, phone number, e-mail address, agency name, and address.

2. Contract Number and Task Order number(s), if applicable.

3. Name of contractor to whom the contract was awarded. Name of contractor who performed services, if different from awardee. Provide the CAGE Code and DUNS numbers of both the awardee and the contractor who performed the service(s).

4. Dates when services were provided.

5. Place(s) of performance.

6. List the number and type of health care workers provided. (i.e., Project Manager, Warehousemen, Shelf Life Manager, Biomedical Technician, Transportation Specialist, etc.) Specify if services were full time, part time or temporary.

7. The offeror shall provide information on problems encountered on the identified contract(s) and the contractor’s corrective actions.