Past Performance Information Sheet.docx

This is a Past Performance Information Sheet template designed for contractors to document their relevant contract experience and qualifications. The form captures essential historical contract data including the contracting activity name and address, contract number, award date, performance period, and total contract value. It requires identification of the contract type and designation of both technical and contracting points of contact with their contact information and addresses.

The template requests a detailed description of the work performed, documentation of any commissions or awards received during contract execution, and identification of major subcontractors involved. Additional sections allow for supplementary comments about contract performance. This form serves as supporting documentation for the related solicitation 36C24126Q0465, which seeks Medical Coding Services (FSC/PSC Q601) for the Northampton VA Medical Center under the Department of Veterans Affairs Veterans Health Administration. The solicitation is a Firm-Fixed Price contract opportunity with a base year and four option years, set aside exclusively for Service-Disabled Veteran-Owned Small Businesses (SDVOSBs) and Veteran-Owned Small Businesses (VOSBs), with inquiries directed to Sebastian Freeze at sebastian.freeze@va.gov.