10 RLP 36C10F26R0024 Past Performance List of References SPB County FL OPC 7_17_ 2026.pdf
PDF 304 KB Posted
- Solicitation number
- 36C10F26R0024
About this file
This is a Past Performance List of References Form for a Veterans Affairs (VA) contract opportunity. The solicitation is RLP No. 36C10F26R0024 for South Palm Beach County, FL OPC, with offers due by 09/18/2026. The VA Contracting Officer is Cynthia White (cynthia.white6@va.gov), and the VA Broker is Patricia Restrepo (patricia.restrepo@chartwellenterprises.com).
The form requires offerors to submit up to five past performance references and identify the type of contract for each reference by selecting one of three options: (A) a previously completed Past Performance Questionnaire (PPQ) for a VA contract; (B) a VA contract where the offeror submitted a PPQ request to the reference contact (with submission date required); or (C) a non-VA contract. For each reference, offerors must provide the contract reference number, past performance contractor entity name and UEI number, and the reference contact's name, title, phone number, and email address. The form is a template with five blank rows for entering contract references, allowing offerors flexibility in demonstrating relevant past performance experience across VA and non-VA contracts.
View the file
Other files
Show all 47
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Past Performance List of References
Past Performance List of References Form for VA (REV. 11/23)
Solicitation Information
RLP No.:
Offers Due By (Date/Time):
VA Contracting Officer (Name/Email):
VA Broker (Name/Email):
Offeror Entity Name:
PAST PERFORMANCE LIST OF REFERENCES
In reference to column PPQ below, check the appropriate box (see RLP, Section 4.04, for submission instructions):
A. Select A if VA Contract, Offeror using a previously completed PPQ B. Select B if VA Contract, Offeror submitted a PPQ request to the reference contact; include date of submission C. Select C if Non-VA Contract
Contract Reference
No.
Past Performance Contractor Entity Past Performance Reference PPQ Date PPQ Submitted to
Reference Entity Name UEI No. Name/Title Phone/Email
1 A B C
2 A B C
3 A B C
4 A B C
5 A B C
| Entity Name: |
| 0: |
| 1: |
| 2: |
| 3: |
| 4: |
| NameTitle: |
| 0: |
| 1: |
| 2: |
| 3: |
| 4: |
| Check Box2: |
| 1: |
| 0: Off |
| 1: Off |
| 2: Off |
| 2: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: |
| 0: Off |
| 1: Off |
| 2: Off |
| 4: |
| 0: Off |
| 1: Off |
| 2: Off |
| 5: |
| 0: Off |
| 1: Off |
| 2: Off |
| Text3: |
| 0: |
| 1: |
| 2: |
| 3: |
| 4: |
| Text4: |
| 0: |
| 1: |
| 2: |
| 3: |
| 4: |
| Date5_af_date: |
| 0: |
| 1: |
| 2: |
| 3: |
| 4: |
| Text6: |
| 0: 36C10F26R0024 - South Palm Beach County, FL OPC |
| 1: Cynthia White cynthia.white6@va.gov |
| 2: Patricia Restrepo patricia.restrepo@chartwellenterprises.com |
| 3: |
Date7_af_date: 09/18/2026
File details come from the government source that posted it. Updated .