S02. Attachment D.3 Past Performance References.pdf
PDF 79 KB Posted
- Solicitation number
- 36C25625Q0502
About this file
This is a past performance reference template form (Attachment D.3) requiring contractors to provide details for three previous contracts. The form requests information for each reference including: organization name and address, contract number, brief description of work performed, contractor role (prime or sub-contractor), performance dates, total contract cost including any awards/incentives/deductions, termination history, and point of contact details (COR name, title, phone, email).
The form is associated with VA solicitation 36C25625Q0502 for Nonhazardous Solid Waste Refuse and Disposal Services at the G.V. Sonny Montgomery VA Medical Center in Jackson, MS. This is an SDVOSB set-aside opportunity under NAICS 562998 with responses due March 3, 2025 at 3:00 PM CST. Quotes must be submitted via email to the contracting officer.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25625Q0502 0002_1.docx | DOCX document | |
| S02. Attachment D.1 Final Invoice Memo.pdf | ||
| S02. Attachment D.2 Quality Assurance Surveillance Plan.pdf | ||
| 36C25625Q0502 0001_1.docx | DOCX document | |
| 36C25625Q0502_1.docx | DOCX document | |
| RFQ36C25625Q0502.docx | DOCX document |
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Text version
ATTACHMENT D. PAST PERFORMANCE REFERENCES
REFERENCE 1:
Name of Government or Commercial Organization:
Address:
Contract Number:
Brief Description:
Contractor Performed as:
Prime Contractor
Sub-Contractor
Dates of Performance (if current include expiration):
Total Cost of Contract: Award/Incentive/Deduction Any terminations for cause or default? Circle YES or NO If yes, brief explanation:
Point Of Contact/COR:
Title:
Telephone Number:
Point of Contact’s email address:
Comments:
REFERENCE 2:
Name of Government or Commercial Organization:
Address:
Contract Number:
Brief Description:
Contractor Performed as:
Prime Contractor
Sub-Contractor
Dates of Performance (if current include expiration):
Total Cost of Contract: Award/Incentive/Deduction Any terminations for cause or default? Circle YES or NO If yes, brief explanation:
Point Of Contact/COR:
Title:
Telephone Number:
Point of Contact’s email address:
Comments:
REFERENCE 3:
Name of Government or Commercial Organization:
Address:
Contract Number:
Brief Description:
Contractor Performed as:
Prime Contractor
Sub-Contractor
Dates of Performance (if current include expiration):
Total Cost of Contract: Award/Incentive/Deduction Any terminations for cause or default? Circle YES or NO If yes, brief explanation:
Point Of Contact/COR:
Title:
Telephone Number:
Point of Contact’s email address:
Comments:
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