Past Performance Worksheet.pdf

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