Past Performance Information Form.docx
DOCX document 16 KB Posted
- Solicitation number
- N00189-25-R-Z022
About this file
This is a Past Performance Information Form template that contractors must complete to document their relevant prior contract experience. The form requires details including the contract number, customer information, point of contact details, total dollar value over the past 5 years, average number of full-time equivalent personnel per year, and period of performance dates. Contractors must provide a detailed description demonstrating the relevance of the reference work to the current solicitation.
The form is related to solicitation N00189-25-R-Z022 for Early Intervention and Related Services supporting the Educational and Developmental Intervention Services (EDIS) program. The requirement, managed by NAVSUP Fleet Logistics Center Norfolk's Philadelphia Office on behalf of Navy BUMED, seeks pediatric medical services at overseas Military Treatment Facilities including locations in Japan, Guam, Spain, Italy, and Bahrain. Services include early intervention for infants/toddlers up to 36 months and related services for special education students in DoDEA schools.
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Other files
| File | Type | Posted |
|---|---|---|
| N0018925RZ022_0002.pdf | ||
| N0018925RZ022_0002 SF 30.pdf | ||
| N0018925RZ022_0001 SF 30.pdf |
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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 .