Attachment 2 (Past Perf. Summary Sheet).docx
DOCX document 19 KB Posted
- Attached to
- Emergency Aeromedical Evacuation Services
- Solicitation number
- W81K0026QA240
- Issued by
-
Department of the Army Medical Command
About this file
This is a Past Performance Summary Sheet template designed for offerors responding to Solicitation W81K00-26-Q-A240 for Emergency Aeromedical Evacuation Services. The document serves as a standardized form for contractors to document and present their relevant past performance experience to the U.S. Department of the Army Medical Command.
The template is intended to support the evaluation criteria under the Past Performance Tradeoff (PPT) source selection strategy, which was implemented in Amendment 0006 of this solicitation. Offerors are required to complete this summary sheet to demonstrate their capability and experience with similar aeromedical evacuation services, emergency medical transportation, and operations from remote military locations. The sheet provides a structured format for presenting contract history, performance metrics, and relevant qualifications that directly relate to the requirement for on-demand emergency aeromedical evacuation services from Bucholz Army Airfield (PKWA) in Kwajalein Atoll, Republic of the Marshall Islands to medical facilities in Oahu, Hawaii. As a 100% Small Business Set-Aside under NAICS 481211, only eligible small businesses may submit proposals, with the final due date extended to 16 October 2026 (as of Amendment 0005, prior to the PPT strategy change in Amendment 0006).
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W81K00-26-Q-A240 Past Performance Summary Sheet
Provide the following information for each past performance reference submitted in response to Solicitation W81K00-26-Q-A240. Use one project Summary sheet per project. Limit three pages per project.
Company Name and CAGE:
Company Name:
CAGE:
Sub or Prime?
Contract Number or Task Order number and contract period of performance:
Do not provide IDIQ basic contract numbers. Projects provided under an IDIQ shall reference the Task Order number from which the work was completed.
Contract Number:
Period of performance:
Current point of contact (POC):
Provide current email address and phone numbers. Provide two POCs if possible, one from the contracting office and one from the end user/customer.
1.
2.
Description of effort:
Provide the labor categories, location of services and the number of FTEs performed for this effort.
Location:
Labor Category:
# of FTE:
Contract or Task Order Award Amount (Base and Options):
List the amount of the base year and each option year on the contract.
Base year:
Option 1:
Option 2:
Option 3:
Option 4:
Status of the project:
Identify status of performance reporting and how many years have successfully been completed. Identify any terminations or modifications for scope change.
File details come from the government source that posted it. Updated .