S02 Solicitation Attachment A - D.1 - PAST PERFORMANCE REFERENCES.pdf
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- Solicitation number
- 36C10X25R0001
About this file
This document is the Past Performance References attachment for a solicitation. It provides a template for offerors to submit information on their past performance on similar contracts. For each past performance reference, offerors must provide details such as the contracting organization, contract number, period of performance, pricing, contracting officer and program manager contact information, and a description of the work performed and any performance issues. The offeror must also indicate if a Contractor Performance Assessment Reporting System (CPARS) or Past Performance Information Retrieval System (PPIRS) report is available. This attachment is part of the solicitation for the Q403-- MDE 2025 Regions 1-4 Recompete contract, a draft Request for Proposal under FAR 15 and FAR 12 issued by the Department of Veterans Affairs Strategic Acquisition Center Frederick to recompete the multiple award IDIQ contract for Medical Disability Examinations in Regions 1-4. The solicitation includes an Industry Day on August 13, 2024 and requires Phase 1 submissions by August 26, 2024.
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D.1 ATTACHMENT A: PAST PERFORMANCE REFERENCES
No record of relevant or recent past performance Past Performance Reference # 1
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR: OFFEROR PROPOSED SUBCONTRACTOR
WORK PERFORMED AS THE: 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: 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.
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.
Past Performance Reference # 2
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR: OFFEROR PROPOSED SUBCONTRACTOR
WORK PERFORMED AS THE: 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
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS 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.
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
Past Performance Reference # 3
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR: OFFEROR PROPOSED SUBCONTRACTOR
WORK PERFORMED AS THE: 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
Program Manager's Name, Email, and
North American Industry Classification System (NAICS) Code:
CPARS/PPIRS 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.
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
D.1 ATTACHMENT A: PAST PERFORMANCE REFERENCES
| No record of relevant or recent past performance: Off |
| OFFEROR NAME: |
| COMPANY who performed this work: |
| OFFEROR: Off |
| PROPOSED SUBCONTRACTOR: Off |
| PRIME: Off |
| SUBCONTRACTOR: Off |
| PRIME SUBCONTRACTORName of Contracting Organization: |
| PRIME SUBCONTRACTORContract Task Order Number for subcontracts provide the prime contract number and the subcontract number: |
| PRIME SUBCONTRACTORContract Type: |
| PRIME SUBCONTRACTORTotal Awarded PriceCost: |
| PRIME SUBCONTRACTORFinal or Projected Final Total PriceCost: |
| PRIME SUBCONTRACTORDelivery datePeriod of performance including base and options if applicable: |
| PRIME SUBCONTRACTORContracting Officers Name Email and Telephone Number: |
| PRIME SUBCONTRACTORProgram Managers Name Email and Telephone Number: |
| PRIME SUBCONTRACTORNorth American Industry Classification System NAICS Code: |
| CPARSPPIRS Completed: |
| YES NO: |
| undefined: Off |
| undefined_2: Off |
| Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations 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 CPARSPPIRS report for this reference are to be addressed: |
| OFFEROR NAME_2: |
| COMPANY who performed this work_2: |
| OFFEROR_2: Off |
| PROPOSED SUBCONTRACTOR_2: Off |
| PRIME_2: Off |
| SUBCONTRACTOR_2: Off |
| PRIME SUBCONTRACTORName of Contracting Organization_2: |
| PRIME SUBCONTRACTORContract Task Order Number for subcontracts provide the prime contract number and the subcontract number_2: |
| PRIME SUBCONTRACTORContract Type_2: |
| PRIME SUBCONTRACTORTotal Awarded PriceCost_2: |
| PRIME SUBCONTRACTORFinal or Projected Final Total PriceCost_2: |
| PRIME SUBCONTRACTORDelivery datePeriod of performance including base and options if applicable_2: |
| PRIME SUBCONTRACTORContracting Officers Name Email and Telephone Number_2: |
| PRIME SUBCONTRACTORProgram Managers Name Email and Telephone Number_2: |
| PRIME SUBCONTRACTORNorth American Industry Classification System NAICS Code_2: |
| CPARSPPIRS Completed_2: |
| YES NO_2: |
| undefined_3: Off |
| undefined_4: Off |
| Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements_2: |
| 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 CPARSPPIRS report for this reference are to be addressed_2: |
| OFFEROR NAME_3: |
| COMPANY who performed this work_3: |
| OFFEROR_3: Off |
| PROPOSED SUBCONTRACTOR_3: Off |
| PRIME_3: Off |
| SUBCONTRACTOR_3: Off |
| PRIME SUBCONTRACTORName of Contracting Organization_3: |
| PRIME SUBCONTRACTORContract Task Order Number for subcontracts provide the prime contract number and the subcontract number_3: |
| PRIME SUBCONTRACTORContract Type_3: |
| PRIME SUBCONTRACTORTotal Awarded PriceCost_3: |
| PRIME SUBCONTRACTORFinal or Projected Final Total PriceCost_3: |
| PRIME SUBCONTRACTORDelivery datePeriod of performance including base and options if applicable_3: |
| PRIME SUBCONTRACTORContracting Officers Name Email and Telephone Number_3: |
| PRIME SUBCONTRACTORProgram Managers Name Email and Telephone Number_3: |
| PRIME SUBCONTRACTORNorth American Industry Classification System NAICS Code_3: |
| CPARSPPIRS Completed_3: |
| YES NO_3: |
| undefined_5: Off |
| undefined_6: Off |
| Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements_3: |
| 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 CPARSPPIRS report for this reference are to be addressed_3: |
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