Past Performance Questionnaire.docx

DOCX document 16 KB Posted

Attached to
Medical Doctor SME Federal contract opportunity
Solicitation number
70RDAD22R00000006
Issued by
Department of Homeland Security Office of Procurement Operations

About this file

This document contains a past performance questionnaire template and details of a federal contract opportunity with the Department of Homeland Security to provide medical doctor subject matter expert services. The past performance questionnaire requests information on up to three relevant prior contracts, including customer and reference contact information, contract details such as number, type, value and dates, as well as descriptions of work performed and problems encountered.

The federal contract opportunity is solicitation number 70RDAD22R00000006 to obtain medical doctor subject matter expert services to assist the DHS Office for Civil Rights and Civil Liberties with investigations and oversight of medical issues in immigration detention facilities. The contract requires experts to evaluate complaints, research and analyze system-wide standards, and provide assistance such as facility reviews, training, briefings, and report preparation on observations and findings with recommendations. Services will involve locations and activities dependent on complaints received by the office.

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Other files for this federal contract opportunity

Other files attached to Medical Doctor SME, newest first.
File Type Posted
Full RFP 70RDAD22R00000006 - Amendment 0001 - Medical Doctor SME.pdf PDF
Questions_ Medical Doctor SME.xlsx XLSX spreadsheet
NDA-DHS Form 11000-6.pdf PDF
Full RFP 70RDAD22R00000006 - Medical Doctor SME.pdf PDF

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Text version

Attachment II - Past Performance Information Form

(Offerors are required to complete this form for no more than three (3) separate relevant contracts/projects)

Offeror:

Company Group / Division:

Program, Project, Or Task Title:

REFERENCE INFORMATION

1
Customer Name:
2
Address:
Customer Info:
Contracting Contact
Program / Project Manager or COR
3
Name & Title:
4
Organization:
5
Address:
5
Phone No.:
6
Fax No.:
7
E-mail:
8
Contract Number:
9
Contract Type (e.g. contract, BPA, task order) and pricing type (e.g. fixed price, cost reimbursement):
10
Dollar Value (Not-to Exceed):

Cumulative funded amount:

11
Project Start Date

Estimated/Actual Completion Date:

12
Current status, e.g. completed and/or in progress

Description of Work Performed and Relevance to Requirements in this RFP

Problems Encountered and Resolutions

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