ATTACHMENT D.4 - EXPERIENCE REFERENCE CONTRACT WORKSHEET.pdf

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Attached to
Annual Diagnostic Physicist Survey Federal contract opportunity
Solicitation number
36C25624Q0094
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This document provides guidance for submitting references from prior relevant contracts for the Annual Diagnostic Physicist Survey solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. Offerors must provide the legal name of the client, contract number and value, description of tasks performed, geographic location, dates of performance, and contact information for a reference from the client for contracts involving similar physicist equipment inspection services utilizing comparable personnel. General statements of experience are not acceptable as responses must include specific prior contract details and references to be evaluated under the Experience factor.

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36C25624Q0094

Experience Reference Contract

ATTACHMENT D.4: Worksheet. No other format shall be used.

(1) the legal name of entity with whom the Offeror held the contract:

(2) the contract number and awarded value:

(3) whether the contract was for the same Services, or for services of a similar nature, size, scope, dynamic environment and complexity, utilizing a comparable number of personnel with like skills.

(4) a description providing details of the specific tasks the Offeror performed under that contract;

(5) in what geographic location the Offeror performed these services;

(6) the dates during which the Offeror performed the contract;

(7) whether the provided reference contract is for services provided by the Offeror or provided by a proposed subcontractor of the Offeror’s;

(8) whether the Offeror or its proposed subcontractor was the prime contractor or a subcontractor for that provided reference contract;

(9) the name, phone number, and email address of a person at the entity with whom the Offeror (or Offeror’s proposed subcontractor) held the contract who can verify the information the Offeror provides in the narrative description for this factor.

NOTE: The information requested above is required for the Government to evaluate proposals for the Experience evaluation factor. General statements claiming experience providing Physicist Equipment Inspection Services or services of a similar nature, size, scope, dynamic environment and complexity, utilizing a comparable number of personnel with like skills, that do not include specific references to prior contract work, or that do not include the information required above, are not acceptable.

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