S02 ATTACHMENT G_PAST PERFORMANCE REFERENCES_PAPR_04012025.docx
DOCX document 31 KB Posted
- Attached to
- 6515--NX EQ Powered Air Purifying Respirators
- Solicitation number
- 36C10G25Q0059
About this file
The document is a Past Performance References attachment for Solicitation 36C10G25Q0059, seeking Powered Air-purifying Respirators (PAPRs) for the Veterans Health Administration. This is a 100% Service-Disabled Veteran Owned Small Business set-aside procurement for the Department of Veterans Affairs, with a single requirements contract to be awarded for PAPRs to be used in VA Medical Centers. The contract will have a 12-month base period with four 12-month option periods, using Firm-Fixed Price orders delivered FOB destination.
The attachment provides a template for vendors to document three past performance references, including detailed fields for contract information, performance description, and performance evaluation. However, the current document contains no actual past performance data, with placeholders for each reference section. The solicitation requires vendors to complete these reference forms, demonstrating relevant prior work experience, though the template indicates "No record of relevant or recent past performance" at the time of document creation.
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NX EQ Powered Air-purifying Respirators
SOLICITATION: 36C10G25Q0059
ATTACHMENT G: PAST PERFROMANCE REFERENCES
NX EQ Powered Air-purifying Respirators
SOLICITATION: 36C10G25Q0059
☐ No record of relevant or recent past performance.
Past Performance Reference # 1
QUOTER NAME:
COMPANY who performed this work:
| Relationship to Quoter: |
| ☐ QUOTER ☐ SUBCONTRACTOR |
| Role on the Contract: |
| ☐ PRIME ☐ SUBCONTRACTOR |
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance(including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS Completed:
Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS report for this reference are to be addressed.
Past Performance Reference # 2
QUOTER NAME:
COMPANY who performed this work:
| Relationship to Quoter: |
| ☐ QUOTER ☐ SUBCONTRACTOR |
| Role on the Contract: |
| ☐ PRIME ☐ SUBCONTRACTOR |
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance(including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS Completed:
Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS report for this reference are to be addressed.
Past Performance Reference # 3
QUOTER NAME:
COMPANY who performed this work:
| Relationship to Quoter: |
| ☐ QUOTER ☐ SUBCONTRACTOR |
| Role on the Contract: |
| ☐ PRIME ☐ SUBCONTRACTOR |
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance(including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
CPARS Completed:
Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS report for this reference are to be addressed.
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