__D.2 PAST PERFORMANCE REFERENCES.rtf

This is a Past Performance References template form required for submission in response to Solicitation Number 36C25726Q0896 for AMSCO Sink and Accessories Service-Preventative Maintenance and Repairs at the West Texas Veterans Health Care System. The form is a blank appendix designed to collect contractor past performance information and does not specify required products or services.

The template requires contractors to submit three past performance references, whether as a prime contractor or sub-contractor. For each reference, contractors must provide the name and address of the government or commercial organization, contract number, brief description of work performed, performance dates, total contract value, and disclosure of any terminations for cause or default and contract discrepancy reports. Additionally, contractors must identify a Point of Contact or Contracting Officer's Representative (COR) with title, telephone number, and email address for each reference, with space provided for comments. This form is part of the evaluation criteria for what is designated as a total Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside solicitation under the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17.