Past Performance Worksheet.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
6835--Medical Grade Liquid Bulk Oxygen
Solicitation number
36C24127Q0001
Issued by

About this file

Written by GovTribe AI ·

This is a Past Performance Worksheet template designed for vendors responding to a solicitation for medical-grade liquid bulk oxygen services issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1 (VAMC Providence). The worksheet is intended to collect and evaluate contractor past performance data relevant to the procurement opportunity 36C24127Q0001, which is set-aside for veteran-owned small businesses (VOSB) under NAICS code 325120 (Industrial Gas Manufacturing) with a 1,200-employee small business size standard.

The solicitation seeks quotations for liquid oxygen supply and related services across a base year plus three option years, including 36,500 cubic feet (CCF) of liquid oxygen annually, 12-month bulk tank and telemetry rental, and emergency delivery services. As a template form, this worksheet establishes the framework through which vendors must demonstrate their historical performance on similar contracts, including past experience with oxygen supply, tank rental operations, emergency service delivery capabilities, and performance reliability metrics relevant to medical gas supply to healthcare facilities.

View the file

Other files

File Type Posted
36C24127Q0001_1.docx DOCX document
LOS certification.pdf PDF
WD 2015 4083 RI Rev35.pdf PDF
Appendix B - VAMC Providence - Bulk Oxygen Commissioning Report.pdf PDF
Appendix A - Combined Red-Line AS-Built Drawings.pdf PDF
36C24127Q0001.docx DOCX document

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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 .