ATTACHMENT E_PAST PERFORMANCE REFERENCES_NX EQ Autonomous Floor Scrubber.docx
DOCX document 29 KB Posted
- Solicitation number
- 36C10G26R0008
About this file
This is a past performance references template for solicitation 36C10G26R0008, a Request for Proposal (RFP) issued by the Department of Veterans Affairs Headquarters for autonomous floor scrubbers and related accessories. The template indicates that the offeror has no record of relevant or recent past performance. The form provides three blank sections for offerors to submit past performance references, with each section requiring detailed information about the contracting organization, contract number, contract type, total awarded and final costs, delivery dates and periods of performance, contracting officer and program manager contact information, NAICS code, and a CPARS completion status.
For each reference, offerors must provide a description of the requirement explaining the work performed and its relevance to the solicitation's requirements, along with a detailed performance narrative addressing any issues encountered, corrective actions implemented, and results achieved. This acquisition is set-aside for Service-Disabled Veteran-Owned Small Business (SDVOSB) concerns, and the solicitation specifies that only new OEM equipment is acceptable, with no refurbished, remanufactured, or gray market items permitted. Delivery is FOB Destination, with specific delivery locations and dates to be identified in individual orders issued under the contract.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT D_PRICE COST SCHEDULE_NX EQ Autonomous Floor Scrubber.xlsx | XLSX spreadsheet | |
| 36C10G26R0008_1.docx | DOCX document | |
| ATTACHMENT C_SALES REPORTING TOOL_NX EQ Autonomous Floor Scrubber.xlsx | XLSX spreadsheet | |
| ATTACHMENT F_PAST PERFORMANCE QUESTIONNAIRE_NX EQ Autonomous Floor Scrubber.docx | DOCX document | |
| Attachment B_Product Description_NX EQ Autonomous Floor Scrubber.pdf | ||
| Attachment A_RFP 36C10G26R0008.pdf |
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ATTACHMENT E: PAST PERFORMANCE REFERENCES
Autonomous Floor Scrubbers
SOLICITATION: 36C10G26R0008
☐ 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 Completed: |
| ☐ Yes ☐ No |
Description of the Requirement: [Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.]
[Description of Requirement Continued]
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
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 Completed: |
| ☐ Yes ☐ No |
Description of the Requirement: [Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.]
[Description of Requirement Continued]
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
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 Completed: |
| ☐ Yes ☐ No |
Description of the Requirement: [Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.]
[Description of Requirement Continued]
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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