Solicitation Attachment A - D.1 - PAST PERFORMANCE REFERENCES.pdf
PDF 106 KB Posted
- Attached to
- Q403--MDE On-Ramp Regions 1-4
- Solicitation number
- 36C10X21R0070_1
About this file
This attachment provides past performance reference requirements for a Department of Veterans Affairs solicitation. The solicitation seeks proposals to conduct Medical Disability Examinations for Veterans in Regions 1 through 4 under an on-ramp contract mechanism. Offerors must provide references from at least three previous or current contracts performing similar services for federal agencies within the past three years, including contract numbers, points of contact, telephone numbers and email addresses. References will be used to assess the offeror's record of relevant past performance in terms of cost control, quality of services, and compliance with performance schedules. The solicitation number is 36C10X21R0070_1, with proposals due by April 30, 2021 and the contract to be awarded by June 30, 2021. The Strategic Acquisition Center in Frederick, Maryland issued the solicitation on behalf of the Department of Veterans Affairs.
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Other files
| File | Type | Posted |
|---|---|---|
| S06 36C10X21R0070_1 0002 Qand A.xlsx | XLSX spreadsheet | |
| S06 36C10X21R0070_1 0002.pdf | ||
| S06 36C10X21R0070_1 Amendment 0001.docx | DOCX document | |
| 36C10X21R0070 0001.pdf | ||
| S06 Qand A.xlsx | XLSX spreadsheet | |
| Solicitation Attachment C - Roster of Existing Exam Providers Sample.xlsx | XLSX spreadsheet | |
| Solicitation Attachment B - D.2 - PPQ.docx | DOCX document | |
| Solicitation Attachment F - Professional Compensation Plans.xlsx | XLSX spreadsheet | |
| Solicitation Attachment D - Self-Certifications of Affiliation.docx | DOCX document | |
| 36C10X21R0070_1 FINAL.pdf |
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D.1 ATTACHMENT A: PAST PERFORMANCE REFERENCES
No record of relevant or recent past performance Past Performance Reference # 1
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR: OFFEROR PROPOSED SUBCONTRACTOR
WORK PERFORMED AS THE: PRIME SUBCONTRACTOR
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed: YES NO Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS/PPIRS report for this reference are to be addressed.
Past Performance Reference # 2
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR: OFFEROR PROPOSED SUBCONTRACTOR
WORK PERFORMED AS THE: PRIME SUBCONTRACTOR
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed: YES NO Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS/PPIRS report
Past Performance Reference # 3
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR: OFFEROR PROPOSED SUBCONTRACTOR
WORK PERFORMED AS THE: PRIME SUBCONTRACTOR
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and
Program Manager's Name, Email, and
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS Completed: YES NO Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS/PPIRS report
D.1 ATTACHMENT A: PAST PERFORMANCE REFERENCES
| No record of relevant or recent past performance: Off |
| OFFEROR NAME: |
| COMPANY who performed this work: |
| OFFEROR: Off |
| PROPOSED SUBCONTRACTOR: Off |
| PRIME: Off |
| SUBCONTRACTOR: Off |
| PRIME SUBCONTRACTORName of Contracting Organization: |
| PRIME SUBCONTRACTORContract Task Order Number for subcontracts provide the prime contract number and the subcontract number: |
| PRIME SUBCONTRACTORContract Type: |
| PRIME SUBCONTRACTORTotal Awarded PriceCost: |
| PRIME SUBCONTRACTORFinal or Projected Final Total PriceCost: |
| PRIME SUBCONTRACTORDelivery datePeriod of performance including base and options if applicable: |
| PRIME SUBCONTRACTORContracting Officers Name Email and Telephone Number: |
| PRIME SUBCONTRACTORProgram Managers Name Email and Telephone Number: |
| PRIME SUBCONTRACTORNorth American Industry Classification System NAICS Code: |
| CPARSPPIRS Completed: |
| YES NO: |
| undefined: Off |
| undefined_2: Off |
| Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements: |
| Performance Explain any performance issues or problems that occurred corrective actions taken and any expected or realized results based on those corrective actions Any issues discussed in a CPARSPPIRS report for this reference are to be addressed: |
| OFFEROR NAME_2: |
| COMPANY who performed this work_2: |
| OFFEROR_2: Off |
| PROPOSED SUBCONTRACTOR_2: Off |
| PRIME_2: Off |
| SUBCONTRACTOR_2: Off |
| PRIME SUBCONTRACTORName of Contracting Organization_2: |
| PRIME SUBCONTRACTORContract Task Order Number for subcontracts provide the prime contract number and the subcontract number_2: |
| PRIME SUBCONTRACTORContract Type_2: |
| PRIME SUBCONTRACTORTotal Awarded PriceCost_2: |
| PRIME SUBCONTRACTORFinal or Projected Final Total PriceCost_2: |
| PRIME SUBCONTRACTORDelivery datePeriod of performance including base and options if applicable_2: |
| PRIME SUBCONTRACTORContracting Officers Name Email and Telephone Number_2: |
| PRIME SUBCONTRACTORProgram Managers Name Email and Telephone Number_2: |
| PRIME SUBCONTRACTORNorth American Industry Classification System NAICS Code_2: |
| CPARSPPIRS Completed_2: |
| YES NO_2: |
| undefined_3: Off |
| undefined_4: Off |
| Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements_2: |
| Performance Explain any performance issues or problems that occurred corrective actions taken and any expected or realized results based on those corrective actions Any issues discussed in a CPARSPPIRS report for this reference are to be addressed_2: |
| OFFEROR NAME_3: |
| COMPANY who performed this work_3: |
| OFFEROR_3: Off |
| PROPOSED SUBCONTRACTOR_3: Off |
| PRIME_3: Off |
| SUBCONTRACTOR_3: Off |
| PRIME SUBCONTRACTORName of Contracting Organization_3: |
| PRIME SUBCONTRACTORContract Task Order Number for subcontracts provide the prime contract number and the subcontract number_3: |
| PRIME SUBCONTRACTORContract Type_3: |
| PRIME SUBCONTRACTORTotal Awarded PriceCost_3: |
| PRIME SUBCONTRACTORFinal or Projected Final Total PriceCost_3: |
| PRIME SUBCONTRACTORDelivery datePeriod of performance including base and options if applicable_3: |
| PRIME SUBCONTRACTORContracting Officers Name Email and Telephone Number_3: |
| PRIME SUBCONTRACTORProgram Managers Name Email and Telephone Number_3: |
| PRIME SUBCONTRACTORNorth American Industry Classification System NAICS Code_3: |
| CPARSPPIRS Completed_3: |
| YES NO_3: |
| undefined_5: Off |
| undefined_6: Off |
| Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements_3: |
| Performance Explain any performance issues or problems that occurred corrective actions taken and any expected or realized results based on those corrective actions Any issues discussed in a CPARSPPIRS report for this reference are to be addressed_3: |
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