Past Performance Worksheet.xlsx

17 KB Posted

Attached to
Triannual Electrical Testing Services - Amend 0001
Solicitation number
36C24126Q0228
Issued by

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Written by GovTribe AI ·

This is a Past Performance Worksheet template designed to document contractor experience and performance history for evaluation purposes in federal procurement. The worksheet captures three separate past performance references, with each reference section requiring comprehensive documentation of prior contract work relevant to the current solicitation.

Each reference section requests detailed information about the contracting activity and organization, contract fundamentals (number, award date, performance period, and total value), contract type, and points of contact for both technical and contracting matters. Additionally, the worksheet requires documentation of the place of performance, detailed description of work performed, any commendations or awards received during contract execution, and identification of major subcontractors involved. This template is intended for vendors responding to the VA Boston Healthcare System's Triannual Electrical Testing Services solicitation (36C24126Q0228), which seeks maintenance, inspection, testing, and calibration services for electrical power distribution systems at the West Roxbury VAMC. The contract base period runs from April 1, 2026 to March 31, 2027, and responses should demonstrate relevant past performance in similar electrical systems maintenance and testing work within the Department of Veterans Affairs or comparable federal healthcare facilities.

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Other files

File Type Posted
Attachment A - Appendix E - SLD.pdf PDF
36C24126Q0228 0001.pdf PDF
36C24126Q0228.pdf PDF
LOS Certification - 36C24126Q0228.pdf PDF
Wage Determination 2015-4047 Rev 32.pdf PDF

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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 .