Past Performance Worksheet.xlsx

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Attached to
4310--Dental Vacuum Replacement
Solicitation number
36C24125Q0589
Issued by

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This document is a Past Performance Worksheet template for documenting previous contract work, specifically related to a Dental Vacuum Replacement solicitation (RFQ 36C24125Q0589) issued by the Department of Veterans Affairs Veterans Health Administration. The solicitation is set-aside for Veteran-Owned Small Businesses and seeks a contractor to replace dental vacuum compressors at the VA Connecticut Healthcare System's Newington Medical Center.

The project requires removing and disposing of two existing vacuum equipment units, installing new annunciator panels and compatible unit controls integrated with the existing Siemens Building Automation System, providing and installing two dental vacuum compressors, and performing post-installation inspections and medical gas system certification. The work must be completed within 60 calendar days of Notice to Proceed, with performance restricted to weekend hours (Saturday/Sunday, 7:00 a.m. - 4:30 p.m.). Bidders must have a field service representative within 200 miles of the facility and possess a Licensed Medical Gas Installer certification. Quotes are due by July 8, 2025 at 3:00 PM, with the award to be made based on a comparative evaluation most advantageous to the government.

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Other files

File Type Posted
LOS certification.pdf PDF
WD 2015 4119 Newington Rev30.pdf PDF
36C24125Q0589.docx DOCX document

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REF #1

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization: Preventative Maintenance, Department of Veterans Affiars
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

REF #2

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

REF #3

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

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