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This document contains a template for listing relevant experience on federal contracts. It requests information on three past contracts including customer name and address, point of contact, estimated value, dates, scope of work performed, and status as ongoing or completed.

The related federal opportunity is solicitation number 36C25620Q0528 from the Department of Veterans Affairs for clinical and research hood certification services at the Michael E. DeBakey VA Medical Center. Bidders are required to demonstrate relevant past performance on federal contracts for similar services when responding to this solicitation. The response deadline and award dates are not specified.

36C25620Q0528 Attachment 5 - Relevant Experience Form.pdf

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36C25620Q0528-007.docx DOCX document
36C25620Q0528-008.pdf PDF
36C25620Q0528-004.pdf PDF
36C25620Q0528-001.pdf PDF
36C25620Q0528-005.pdf PDF
36C25620Q0528-003.pdf PDF
36C25620Q0528-000.docx DOCX document
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36C25620Q0528 Attachment 5

RELEVANT EXPERIENCE FORM

Please list your contracts in the chronological order beginning with the most recent one.

Contracts listed cannot be more than seven (5) years old. You can list on-going contracts that began more than 5 years ago.

Contract #1

1. Customer Name 2. Customer’s Address

3. Name and Title of Contact Point 4. Contact Point’s Email Address

5. Contact Point’s Phone Number 6. Estimated Contract Value

7. Contract Term (Month and Years)

From /_______ through ______/_________

8. Contract Effective Date

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents.

Attach separate sheet if additional space is needed.)

Contract #2

1. Customer Name 2. Customer’s Address

3. Name and Title of Contact Point 4. Contact Point’s Email Address

5. Contact Point’s Phone Number 6. Estimated Contract Value

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the

Solicitation documents. Attach separate sheet if additional space is needed.)

Contract #3

1. Customer Name 2. Customer’s Address

3. Name and Title of Contact Point 4. Contact Point’s Email Address

5. Contact Point’s Phone Number 6. Estimated Contract Value

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the

Solicitation documents. Attach separate sheet if additional space is needed.)

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