Attachment 1 Past Performance Information.pdf
PDF 451 KB Posted
- Attached to
- Audio Booth for Decorah Iowa CBOC Federal contract opportunity
- Solicitation number
- 36C26323Q1215
About this file
This document contains a past performance questionnaire for federal contractors and a solicitation for an audio booth for a Veterans Affairs clinic in Decorah, Iowa. The past performance questionnaire requests information on two most recent and relevant contracts, including contract numbers, types, award values, performance periods, and technical details. Contractors are to provide this questionnaire with bids, proposals, or quotations. The related solicitation provides the opportunity number, title for an audio booth, and identifies the soliciting agency as the VA Veterans Health Administration VISN 23. Offerors are to design and install an audio booth for patient privacy at the Decorah CBOC by the specified due date.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| S02 36C26323Q1215 IC Audio Booth Decorah CBOC.pdf | ||
| Attachment 2 Audio Booth Dimensions.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PRESENT AND PAST PERFORMANCE QUESTIONNAIRE
A. PLEASE PROVIDE TWO (2) PAST AND/OR PRESENT PERFORMANCE REFERENCES FOR THE MOST
RECENT, RELEVANT CONTRACTS. PLEASE RETURN THIS PACKAGE WITH YOUR
BID/PROPOSAL/QUOTATION. *Note: offeror may include this same information in the text block of their proposal submission email if preferred rather than sending a scanned copy of this form*
OFFEROR’S/BIDDER’S NAME (Company/Division): _________________________________________________
JOB 1
1. CONTRACT NUMBER: ________________________________ 2. TYPE: ____________________________
3. BUYING OFFICE:
a. Address: _________________________________________________________________________________
b. Phone: __________________________________________________________________________________
c. Contracting Officer/Point of Contact: __________________________________________________________
4. BRIEF DESCRIPTION OF EFFORT: ____________________________________________________________
5. CONTRACT $ VALUE: a. Original: _________________________________________________________
b. Value at Completion: _______________________________________________
c. Reason for any Change: _____________________________________________
6. PERFORMANCE PERIOD: a. Date Completed/To Be Completed: ____________________________________
b. Reason for Any Change: ____________________________________________
7. USE THIS SPACE TO ADDRESS ANY TECHNICAL (OR OTHER) AREA OF CONCERN CONSIDERED
UNIQUE: _____________________________________________________________________________________
Attachment 1: Past Performance Information
OFFEROR’S/BIDDER’S NAME (Company/Division): _________________________________________________
JOB 2
1. CONTRACT NUMBER: ________________________________ 2. TYPE: ____________________________
3. BUYING OFFICE:
a. Address: _________________________________________________________________________________
b. Phone: ___________________________________________________________________________________
c. Contracting Officer/Point of Contact: ___________________________________________________________
4. BRIEF DESCRIPTION OF EFFORT: ____________________________________________________________
5. CONTRACT $ VALUE: a. Original: _________________________________________________________
b. Value at Completion: _______________________________________________
c. Reason for any Change: _____________________________________________
6. PERFORMANCE PERIOD: a. Date Completed/To Be Completed: ____________________________________
b. Reason for Any Change: ____________________________________________
7. USE THIS SPACE TO ADDRESS ANY TECHNICAL (OR OTHER) AREA OF CONCERN CONSIDERED
UNIQUE: _____________________________________________________________________________________
File details come from the government source that posted it. Updated .