S02 D.6 Experience Worksheet.docx
DOCX document 25 KB Posted
- Solicitation number
- 36C25726Q0188
About this file
This is an Experience Contract Worksheet template used as part of the evaluation criteria for RFQ 36C25726Q0188. The worksheet requires offerors to document their relevant experience providing transitional housing and/or supportive services to people experiencing homelessness. Offerors must provide specific contract details including the legal name of the entity with whom they held the contract, the contract number, the type of services delivered (transitional housing, supportive services, or both), and a detailed description of specific tasks performed. Additionally, offerors must identify the geographic location where services were provided, the contract performance dates, and the average monthly number of individuals served through transitional housing and supportive services separately.
The worksheet also requires offerors to clarify whether the experience is from their own organization or a proposed subcontractor, and whether their organization served as prime contractor or subcontractor on the referenced contract. Finally, offerors must provide contact information—name, phone number, and email address—for a reference person at the contracting entity who can verify the information provided in the narrative description. This template is part of the solicitation for residential care and housing services issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17, with quotes due by 03:00 PM ET on March 13, 2026, to be submitted to Christopher Herrera at Christopher.herrera5@va.gov.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
RFQ 36C25726Q0188
D.6 Experience Contract Worksheet Experience Contract #____________
| The legal name of entity with whom the Offeror (or Offeror’s proposed subcontractor) held the contract |
| (example: Veterans Affairs, LA City Department of Public Health) |
Contract Number
Whether the contract was for Transitional Housing or supportive services, or both, to people experiencing homelessness.
Transitional Housing Services (Yes / No) Supportive Services (Yes / No)
A description providing details of the specific tasks the Offeror (or Offeror’s proposed subcontractor) performed under that Contract
| In what geographic location the Offeror (or Offeror’s proposed subcontractor) performed these services |
| (example: Los Angeles county, New York City) |
The dates during which the Offeror (or Offeror’s proposed subcontractor) performed the contract
| The average monthly number of people experiencing homelessness to whom the Offeror (or Offeror’s proposed subcontractor) provided transitional housing or supportive services, or both, under this contract. |
| Transitional housing services were provided to __________ people experiencing homelessness on average per month |
Supportive services were provided to __________ people experiencing homelessness on average per month
Whether the provided reference contract is for services provided by the Offeror or provided by a proposed subcontractor of the Offeror’s
Whether the Offeror or its proposed subcontractor was the prime contractor or a subcontractor for that provided reference contract.
The name, phone number, and email address of a person at the entity with whom the Offeror (or Offeror’s proposed subcontractor) held this contract who can verify the information the Offeror provides in the narrative description for this contract.
Page 1 of
File details come from the government source that posted it. Updated .