10 - Past Performance List of References_FEB 2026.docx
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- Solicitation number
- 36C10F26R0088
About this file
This is a Past Performance List of References form for a General Services Administration (GSA) lease solicitation. The document is submitted in response to Request for Lease Proposal (RLP) No. 36C10F26R0088 for a health care clinic facility in Macon, Georgia, with an offer due date of February 2, 2027 at 5:00 PM ET. The Department of Veterans Affairs, Office of Construction and Facilities Management is the contracting agency, with Cynthia White serving as the VA Lease Contracting Officer and James Cassidy and Samantha Barr as the VA Brokers.
The form is a template requiring offerors to provide up to five past performance contract references demonstrating relevant experience. For each reference, offerors must identify the contract reference number, contractor entity name, Unique Entity Identifier (UEI), point of contact information (name, title, phone, and email), and select the appropriate Past Performance Questionnaire (PPQ) category: Category A for VA contracts where a previously completed PPQ exists, Category B for VA contracts where a PPQ request was submitted with submission date, or Category C for non-VA contracts. Space is provided for both the lessor and government to sign the completed form. The lease addresses a facility of 168,332 ANSI/BOMA square feet in Macon, Georgia.
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Text version
PAST PERFORMANCE LIST OF REFERENCES
| RLP No.: | 36C10F26R0088 | ||
| City, ST – Facility: | Macon, GA HCC | ||
| Offer Due Date/Time: | February 2, 2027 at 5:00 ET | ||
| VA Lease Contracting Officer: | Cynthia White | ||
| VA Broker: | James Cassidy/Samantha Barr |
Offering Entity (Legal Name):
PAST PERFORMANCE LIST OF REFERENCES
In reference to column PPQ below, check the appropriate box (see RLP 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 contract reference; 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 |
| ☐A |
| ☐B |
| ☐C |
| ☐A |
| ☐B |
| ☐C |
| ☐A |
| ☐B |
| ☐C |
| ☐A |
| ☐B |
| ☐C |
| ☐A |
| ☐B |
| ☐C |
LESSOR: _______ GOVERNMENT: _______ Page 1 of 1
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