Past Performance Worksheet.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
J012--Fire Door Assembly Survey, Inspection and Repair
Solicitation number
36C24126Q0632
Issued by

About this file

This is a Past Performance Worksheet template designed for offerors to document their relevant contract experience. The worksheet provides a standardized format for submitting up to three references (REF #1, REF #2, REF #3) detailing previous government and commercial contracts. For each reference, contractors must provide comprehensive information including the contracting activity name and agency, contract number, award and completion dates, contract value, contract type, technical and contracting points of contact with their respective addresses, telephone numbers, and email addresses. Additionally, offerors must document the place of performance, provide a detailed description of work performed, list any commendations or awards received, and identify major subcontractors involved.

The worksheet is directly applicable to solicitation 36C24126Q0632, a Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside for Fire Door Assembly Survey, Inspection and Repair Services at White River Junction VAMC issued by the Department of Veterans Affairs Veterans Health Administration. The requirement is for a firm-fixed price award under NAICS code 541350 with a small business size standard of $11.5 million. Offerors responding to this RFQ must complete the Past Performance Worksheet as part of their quote submission, with responses due by August 7, 2026 at 5:00 PM EST. This template enables the government to evaluate contractor experience and performance history as part of the quotation evaluation process.

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Text version

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 .