D.2 Reference Contract Worksheet.pdf

PDF 83 KB Posted

Attached to
R699--CTRS SERVICE MONITORS
Solicitation number
36C26223R0005
Issued by

About this file

This reference worksheet requests information about a past contract to provide social worker staffing services. It asks for details of the legal entity, contract number, description of tasks performed, geographic location of services, dates of performance, and contact information for a reference. It also requests whether the reference contract involved the offeror as prime contractor or subcontractor.

The related federal contract opportunity is a solicitation from the VA Greater Los Angeles Healthcare System seeking Care, Treatment, Rehabilitative, Service monitors. The solicitation number is 36C26223R0005 and it is seeking these monitors to provide CTRS services. The contracting agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 22.

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Text version

Reference Contract #1

The legal name of entity with whom the Offeror held the contract (example: Veterans Affairs, VISN 22)

Contract Number

A description providing details of the specific tasks the Offeror performed under that Contract

In what geographic location the Offeror performed these services

(example: Los Angeles and Orange counties)

The dates during which the Offeror performed the contract

The name, phone number, and email address of a person at the entity with whom the Offeror held the contract who can verify the information the Offeror provides in the narrative description for this factor pertaining to the offerors provision of Social Worker Staffing services.

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

File details come from the government source that posted it. Updated .