Past Performance Questionnaire.docx

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SOURCES SOUGHT: GPA - Hood Certifications Federal contract opportunity
Solicitation number
Not on record
Issued by
Department of Health and Human Services Indian Health Service

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06-Hood_Cert-DRAFT_SOW.docx DOCX document
IHS IEE Representation Form_Jan 2022_508 Compliant.pdf PDF

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Hood Certifications

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

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