36C25818Q0241-007.docx

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VISN Water Testing for Legionella
Solicitation number
36C25818Q0241
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36C25818Q0241 Attachment F - Offeror's Performance Relevancy Questionnaire.docx

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Attachment F – OFFEROR’S PERFORMANCE RELEVANCY QUESTIONNAIRE

Provide the following information requested in this format for each of the projects/contracts being described below. Projects may be ongoing and cannot have been completed any later than 3 years prior to the solicitation issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify. Use as much space as required.

Note: The Technical Evaluation Board will be contacting your references for verification, so please ensure the contact information is current and accurate.

A. Offeror (Your) Name (Company/Division):

B. Project/Contract Title:

C. Contract Specifics:

1.Description of Effort as
Prime ___
Subcontractor ___
2.Contract Number:
3.Award Date:
4.Contract $ Value:
5.Current Schedule:
6.Estimate/Final Completion Date:

D. Provide detailed description of the work performed under the contract, and describe why you believe the work is very relevant, relevant or semi-relevant to this solicited project. At a minimum, address the following:

(Use as much space as necessary)

1.Describe the specific elements of the work performed by your firm.
2.Indicate what elements of work, if any, were performed by your major subcontractors and indicate if those same subcontractors will be used on this BPA.
3.Address any technical areas about this project/contract you consider uniquely relevant to this solicitation.
E.Point of Contact for Owner/Government agency Contracting Officer and or inspector; include a current phone number and facsimile number. Email address is also desired.
1.Name:Title:
2.Company/Agency:
3:Phone/Fax #”
4.Email address:

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