Attachment 2 - PAST PERFORMANCE QUESTIONAIRE.pdf
PDF 74 KB Posted
- Solicitation number
- 36C24124Q0224
About this file
This document is a Past Performance Questionnaire that provides instructions for contractors to identify previous federal, state, local government, and private contracts that are similar in size and scope to the contract being evaluated. Contractors are required to list at least three (3) contracts for evaluation, either competed or current within the last two years, with one contract reference per form. The contractors must provide details such as contract number, contractor information, contract type, dollar value, date of award, subcontracting percentage, description of services, and contact information.
This Past Performance Questionnaire is related to the federal contract opportunity for 2420--VANEC Grounds Equipment BPA VISN 1, 2, 4, and 5. The Department of Veterans Affairs, VISN 1 New England Healthcare, has a requirement to obtain services providing artificial limbs and repairs for Veterans. The solicitation shall establish a Firm-Fixed-Price (FFP) Blanket Purchase Agreement (BPA) contract to create a list of vendors. The eligible vendors must have facilities within 50 miles of the specified VA Medical Center locations in the Northeast region.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1 - Equipment List 5.6.2024.pdf | ||
| 36C24124Q0224.docx | DOCX document |
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Text version
PAST PERFORMANCE QUESTIONAIRE
INSTRUCTIONS: Contractor must identify previous federal, state, local government and or private contracts completed that are similar in size and scope to the contract being evaluated. List at least three (3) contracts for evaluation. Contracts must be either competed or current within the last (2) years. One contract reference per form.
Note: List any Veterans Health Administration (VHA) contracts currently working or previously worked first followed by Non-VHA contracts.
Past Performance Questionnaire
Contract Number
Contractor ( Name
Address, Zip Code)
Telephone Number
Email Address
Type of Contract
Contract Dollar Value
Date of Award (if not completed provide status)
Type/Extent of
Subcontracting
Percentage of Work completed by the
Contractor
Description of
Supply/Services provided, location & relevancy of work
Address, Telephone
Number & Email of the
Contact Person and
Position
Form may be duplicated
File details come from the government source that posted it. Updated .