Attachment 5 Past Performance Information Sheet.pdf

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Attached to
Medical Simulation Training Services for US Army Reserves MEDCOM
Solicitation number
W81K0425RA020
Issued by

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This document is a Past Performance Information Sheet (Attachment 5) for a Multiple Award Task Order Contract (MATOC) solicitation W81K0425RA020. The form requires offerors to provide detailed information about previous contract performance, including specific contract details such as contract value, completion dates, and a comprehensive description of work performed. Offerors must characterize the relevance of their past work to the current solicitation and are encouraged to disclose any problems encountered and corrective actions taken.

The form is divided into two parts: Part 1 requires project-specific information for contracts completed within the last 4 years, with projects needing to be ongoing for at least 2 months. Part 2 requests additional non-project-specific information, including effectiveness of value engineering proposals, professional/industry awards, and unique skills and accomplishments. The document is intended to help the government evaluate an offeror's past performance as part of the source selection process for medical simulation training services for US Army Reserves Medical Command.

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W81K0425RA020- Attachment 5

PAST PERFORMANCE INFORMATION SHEET

PART 1: Provide the following information requested in this format for each of the projects/contracts you intend to have considered for evaluation. Projects may be on-going (at least 2 months of performance) and cannot have been completed any later than 4 years prior to the solicitation release date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you elect to reference.

A. Offeror (Your) Name (Company/Division):

B. Project/Contract Title:

C. Contract Specifics:

1. Description of Effort as ____ _ Prime or Subcontractor

2. Contract Number

3. Original Contract$ Value ____

Current/Final Contract $ Value

4. If amounts in 3 above are different, provide a brief description of the reason: ___ _

5. Completion Date(s):

a. Original Date: _________ _

b. Current Schedule

c. Estimate/Final Completion Date: ________ _

d. Primary cause for Contract Modifications _____ _

6. Is there a Contractor Performance Assessment Report (CP AR) for this contract? Y or N

NOTE: If the answer to 6 is "NO" ensure there shall be a Past Performance Questionnaire (Attachment

7) completed and returned to the Contracting Officer by the closing date of this RFP.

D. Provide detailed description of the work performed under the contract and describe why you believe the work is VERY REVELANT, RELEVANT, or SOMEWHAT RELEVANT. Address the following:

1. Describe the specific elements of the work performed by your firm.

2. Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on projects awarded under this MATOC. Should you intend to use these same subcontractors, please list their company names and describe their principal areas of work that they will perform.

3. Address any technical areas about this project you consider uniquely relevant to this MATOC solicitation.

4. Offerors are strongly encouraged to include with their proposals information on problems encountered on relevant projects and the specific corrective actions taken to remedy the problems.

File details come from the government source that posted it. Updated .