RFP ATTACHMENT 5 - SAMPLE QUESTIONNAIRE COVER LETTER.docx
DOCX document 18 KB Posted
- Attached to
- Medical Accession Services
- Solicitation number
- W81K0425RA016
- Issued by
-
Department of the Army Medical Command
About this file
This document is a sample questionnaire cover letter for a past performance assessment related to the Medical Accession Services solicitation (W81K0425RA016). The letter is designed to be sent to potential references to gather performance evaluations for offerors competing for a medical services contract with the U.S. Army Health Contracting Activity. Recipients are requested to complete an enclosed questionnaire and return it within 15 days to contract specialists Carlos A. Ramirez, Nathaniel W. Trulove, and Contracting Officer David Robledo, using the provided email addresses. The cover letter is part of the source selection process for evaluating potential contractors' past performance in physician services, specifically for medical accession services at military entrance processing stations.
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Text version
ATTACHMENT 5 - SAMPLE QUESTIONNAIRE COVER LETTER
(This Should Be On Company Letterhead)
| To: | Questionnaire Evaluator | Date of Letter |
| Agency or Organization Name | ||
| Street Address | ||
| City/State/Zip Code |
| From: | Company Name (SAM UEI Number) |
| Street Address | |
| City/State/Zip |
Subject: Offeror Past Performance Assessment In Support Of Solicitation Number W81K0425RA016 for the Acquisition of Medical Accession Services
Dear Sir/Ma’am, The U.S. Army Health Contracting Activity, Health Readiness Contracting Office is currently conducting a competitive source selection to evaluate offerors on the subject solicitation for the Acquisition of Medical Accession Services. As part of this evaluation, we have requested that the Offerors provide information about their past performance on recent and relevant federal, state, or local government or commercial contracts as compared to North American Industry Classification System 621111, Office of Physicians (Except Mental Health Specialist). You have been identified as the point of contact cited on the enclosure.
Your assessment of their performance is extremely valuable to our evaluation. Please complete the enclosure and return to the U.S. Army Health Contracting Activity, Health Readiness Contracting Office, 2199 Storage Street Building, 4197, Suite 68, Joint Base San Antonio, Fort Sam Houston, TX, 78234, no later than 15 days after receipt of request or (insert date), whichever occurs first. Submit your completed questionnaire to Carlos A. Ramirez, Contract Specialist, at carlos.a.ramirez18.civ@health.mil, Nathaniel W. Trulove, Contract Specialist, at nathaniel.w.trulove.civ@health.mil, and David Robledo, Contracting Officer, david.robledo17.civ@health.mil.
Your cooperation is greatly appreciated. Questions may be directed to the Contract Specialists and Contracting Officer via email.
Sincerely,
| Signature |
| Printed Name, Title |
| Entity Name |
| SAM UEI Number |
| Phone Number / Email Address |
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