ATTACHMENT G - PAST PERFORMANCE REFERENCE - NX EQ Microwave Therapy Systems Tissue Ablation.docx

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Attached to
NX EQ Microwave Therapy Systems: Tissue Ablation Federal contract opportunity
Solicitation number
36C10G25R0048
Issued by
Department of Veterans Affairs Headquarters

About this file

This is a past performance reference form template for vendors responding to a solicitation for microwave therapy systems used in tissue ablation procedures. The form is part of Solicitation 36C10G25R0048 and includes sections for offerors to document their relevant experience, including company information, contract details, performance periods, contracting officer contacts, and NAICS codes.

The template requires detailed descriptions of work performed that demonstrates relevance to the current requirement for microwave therapy systems designed for thermal ablation of soft tissue and solid organs. Offerors must explain any performance issues, corrective actions taken, and results achieved, particularly addressing any items documented in CPARS/PPIRS reports. The form allows documentation of work performed either as a prime contractor or subcontractor and requires specific contract information including total awarded costs, delivery dates, and performance periods with base and option years.

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ATTACHMENT G: PAST PERFORMANCE REFERENCE

NX EQ Microwave Therapy Systems Tissue Ablation

SOLICITATION: 36C10G25R0048

☐ No record of relevant or recent past performance.

Past Performance Reference # 1

OFFEROR NAME:

COMPANY who performed this work:

Relationship to Offeror:
☐ OFFEROR ☐ 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/PPIRS 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/PPIRS report for this reference are to be addressed.

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