Past Performance Questionnaire.docx
DOCX document 29 KB Posted
- Attached to
- SDPI Telehealth Equipment and Services
- Solicitation number
- IHS1427251-SDPI
About this file
This document includes a sources sought notice and past performance questionnaire for audio/video conferencing equipment and installation services. The Great Plains Area Indian Health Service seeks market research to identify Indian Economic Enterprises capable of providing required equipment and services. Interested parties should submit capability statements and past performance information using the attached questionnaire by July 26, 2021. Based on responses, the requirement may be set aside for Indian Economic Enterprises or procured through full and open competition with potential for multiple awards.
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| File | Type | Posted |
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| Scope.docx | DOCX document |
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Text version
Audio/Video Conferencing Equipment and Installation
PAST PERFORMANCE QUESTIONNAIRE
1. Contract Number: ____________________________________________
2. Indicate whether you were the prime contractor or subcontractor.
[ ] Prime Contractor [ ] Subcontractor
3. Contract Award Period:_________________________________________
4. Contract Type (e.g., Fixed-Price, Cost-Reimbursement, etc.)
5. Contract Term (e.g., One Year, Base Year and Options).
6. Contract Dollar Value:__________________________________________
7. Name of Procuring Organization:
8. Address of Procuring Organization:
9. Contracting Officer’s Name and Phone Number:
10. Program Manager or COTR’s Name and Phone Number:
11. Provide information on problems encountered on the identified contract and the corrective action taken.
12. Provide a brief summary of the work accomplished and how it relates to the work required by this solicitation.
Sources Sought Notice: SDPI Telehealth Page 1
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