Past Performance Questionnaire.docx
DOCX document 26 KB Posted
- Attached to
- Electrical Contractors & Other Wiring Installation Contractors Federal contract opportunity
- Solicitation number
- CRHC-20-019
About this file
This sources sought notice is requesting capability statements from Indian Economic Enterprises and Indian Small Business Economic Enterprises for upgrading a facility network system at the Cheyenne River Health Center. Interested parties should provide organization details, tailored capability statements addressing the statement of work, and past performance information using the attached questionnaire by June 10, 2020. The applicable NAICS code is 238210 and classification code is D318. Based on responses, the requirement may be set aside under the Buy Indian Act or procured through full and open competition. The Indian Health Service anticipates awarding a firm fixed-price contract on an all-or-none basis. Responses are limited to two pages and should be emailed to the point of contact provided.
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| File | Type | Posted |
|---|---|---|
| Eagle Butte Networking SOW v1.docx | DOCX document |
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Text version
Upgrade Facility Network System/CRHC
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.
CRHC-20-19 Sources Sought Notice Page 1
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