36C25625Q1211 Attachment C -Relevant Experience Form.pdf
PDF 101 KB Posted
- Attached to
- J045--Install Turn-key Condensate Return Unit with Control Panel Federal contract opportunity
- Solicitation number
- 36C25625Q1211
About this file
Attachment A is a Relevant Experience Form for federal contract opportunity 36C25625Q1211, which requires contractors to provide detailed information about their three most recent contracts. The form is designed to capture key contract details including customer name, contact information, contract term, estimated value, effective date, contract status, and a comprehensive description of the scope of work performed. Contractors are instructed to list contracts chronologically, with the most recent first, and can include ongoing contracts that began more than 5 years ago, though newly listed contracts cannot be more than 5 years old.
This form is part of a solicitation for installing a turn-key Condensate Return Unit with Control Panel at the Michael E. DeBakey VA Medical Center in Houston, Texas. The procurement is a 100% Service-Disabled Veteran Owned Small Business (SDVOSB) set-aside with a NAICS code of 238220. The contract will be awarded using a Lowest Priced Technically Acceptable (LPTA) method, with quotes due by 3:00 p.m. Central Standard Time on July 22, 2025. Vendors must be registered in SAM and certified as an SDVOSB, and must submit two volumes: a technical volume and a price volume.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25625Q1211 Attachment B -852.219-75.pdf | ||
| RFQ 36C25625Q1211 CONDENSATE RETURN TANK.pdf | ||
| 36C25625Q1211.docx | DOCX document | |
| 36C25625Q1211 ATTACHMENT A - WD 2015-5233 REV 31 07-08-2025.pdf |
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Text version
36C25625Q1211
ATTACHMENT A
RELEVANT EXPERIENCE FORM
Please list your contracts in the chronological order beginning with the most recent one. Contracts listed cannot be more than 5 years old. You can list ongoing 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 Year)
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 Request
For Quote 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
7. Contract Term (Month and Year)
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 Request
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
7. Contract Term (Month and Year)
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 Request
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