Att D2 Past Performance Reference rv.pdf

PDF 143 KB Posted

Attached to
G004--Transitional Housing - Health Care for Homeless Veterans (HCHV) Shreveport, Louisiana
Solicitation number
36C25626Q0949
Issued by

About this file

This is a Past Performance References form (Attachment D.2) for RFQ 36C25626Q0949 related to HCHV (Healthcare and Humanitarian Vehicles) procurement.

The form is a template requiring contractors to provide three past performance references demonstrating their relevant experience. For each reference, contractors must submit the following information: the name and address of the government or commercial organization served; the associated contract number; a brief description of work performed; whether the contractor served as prime contractor or sub-contractor; performance dates including expiration if current; total contract cost with any awards, incentives, or deductions; disclosure of any terminations for cause or default with explanations if applicable; and point of contact information including the COR/POC name, title, telephone number, and email address. The form includes space for additional comments on each reference. Contractors are required to complete all three reference sections to support their proposal evaluation under the past performance evaluation criteria for this RFQ.

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ATTACHMENT D.2 - Past Performance References, HCHV, RFQ

PAST PERFORMANCE REFERENCES

REFERENCE 1:

Name of Government or Commercial Organization: Address:

Contract Number:

Brief Description:

Contractor Performed as:

Prime Contractor

Sub-Contractor

Dates of Performance (if current include expiration):

Total Cost of Contract: Award/Incentive/Deduction Any terminations for cause or default? Circle YES or NO If yes, brief explanation:

Point Of Contact/COR:

Title:

Telephone Number:

Point of Contact’s email address:

Comments:

REFERENCE 2:

Name of Government or Commercial Organization:

Address:

Contract Number:

Brief Description:

Contractor Performed as:

Prime Contractor

Sub-Contractor

Dates of Performance (if current include expiration):

Total Cost of Contract: Award/Incentive/Deduction Any terminations for cause or default? Circle YES or NO If yes, brief explanation:

Point Of Contact/COR:

Title:

Telephone Number:

Point of Contact’s email address:

Comments:

36C25626Q0949

REFERENCE 3:

Name of Government or Commercial Organization:

Address:

Contract Number:

Brief Description:

Contractor Performed as:

Prime Contractor

Sub-Contractor

Dates of Performance (if current include expiration):

Total Cost of Contract: Award/Incentive/Deduction Any terminations for cause or default? Circle YES or NO If yes, brief explanation:

Point Of Contact/COR:

Title:

Telephone Number:

Point of Contact’s email address:

Comments:

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