D.2- PAST PERFORMANCE REFERENCE INFORMATION.docx
DOCX document 21 KB Posted
- Attached to
- Community Based Outpatient Clinic (CBOC): Kingston, NY of the Albany (NY) VA Medical Center in VISN 2.
- Solicitation number
- 36C24225R0047
About this file
This document is a Past Performance Reference Information form for RFP 36C24225R0047, which requires offerors to provide detailed past performance references for a Community Based Outpatient Clinic (CBOC) contract. The form mandates submitting at least three references from businesses or medical facilities of similar size and scope, with each reference requiring comprehensive details including contract number, contract value, period of performance, agency/company name, point of contact information, and a brief contract description.
The related federal contract opportunity is for CBOC services at Kingston, NY, issued by the Samuel S. Stratton VA Medical Center in VISN 2. The procurement is for primary care, telehealth, and podiatry services to Veteran patients, with a base year and four one-year option periods. It is an unrestricted procurement using NAICS code 621498 with a $25.5 million size standard, requiring SAM registration. Proposals must be submitted to the Administrative Contracting Officer Danelle Wassink, with questions and proposals to be received by specified dates, and a single award contract is anticipated.
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Text version
Attachment D.2 RFP 36C24225R0047
D.2 PAST PERFORMANCE REFERENCE INFORMATION
Offeror shall complete the listing of past performance references below, including at least three businesses or medical facilities of similar size and scope to this solicitation, that have purchased the offered services in the past three years. References listed must be familiar with the contract and able to answer questions about performance and adherence to requirements. The offeror is responsible for ensuring contact information for all past performance references is the most recent and valid information available.
For each past performance reference identified below, the offeror shall include the following information:
1. Contract Number
2. Contract Value
3. Period of Performance
4. Name of agency or company contract was with
5. Current Point of Contact (including: name, title or position, phone number, and email address) who can provide performance feedback information
6. Brief description of the contract demonstrating the relevance in scope to this requirement
Reference 1:
Contract Number:
Contract Value:
Period of Performance:
Name of Agency/Company:
Current Point of Contact:
Name:
Title/Position:
Phone Number:
Email Address:
Brief Description of Contract:
Reference 2:
Contract Number:
Contract Value:
Period of Performance:
Name of Agency/Company:
Current Point of Contact:
Name:
Title/Position:
Phone Number:
Email Address:
Brief Description of Contract:
Reference 3:
Contract Number:
Contract Value:
Period of Performance:
Name of Agency/Company:
Current Point of Contact:
Name:
Title/Position:
Phone Number:
Email Address:
Brief Description of Contract:
Reference 4:
Contract Number:
Contract Value:
Period of Performance:
Name of Agency/Company:
Current Point of Contact:
Name:
Title/Position:
Phone Number:
Email Address:
Brief Description of Contract:
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