Attachment 2 - Corporate Experience Form.pdf
PDF 119 KB Posted
- Attached to
- R616--Record Storage Services Federal contract opportunity
- Solicitation number
- 36C25620Q0497
About this file
This document is a corporate experience form for solicitation number 36C25620Q0497 for record storage services from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. Vendors are required to list up to three relevant contracts from the past five years, including customer name and contact information, estimated contract value, period of performance, completion status, and scope of work. The solicitation seeks record storage services and the form will be used to evaluate vendor experience for responsiveness and responsibility.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attahcment 5 - Business Assoicates Agreement (BAA).pdf | ||
| 36C25620Q0497_1.docx | DOCX document | |
| Attachment 3 - Past Performance Questionnaire.pdf | ||
| Attachment 1 - Quality Assurance Surveillance Plan (QASP).pdf | ||
| 36C25620Q0497.pdf | ||
| Attachment 4 - Wage Determination.pdf |
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Text version
36C25620Q0497
Attachment 2
CORPORATE EXPERIENCE FORM
Please list your contracts in the chronological order beginning with the most recent one.
Contracts listed cannot be more than five (5) years old. You can list on-going contracts that began more than 5 years ago.
Contract #1
1. Customer Name 2. Customer’s Address
3. Name and Title of Contact Point 4. Contact Point’s Email Address
5. Contact Point’s Phone Number 6. Estimated Contract Value
7. Contract Term (Month and Years)
From /_______ through ______/_________
8. Contract Effective Date
9. Contract Status
___Ongoing
___Completed
10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents.
Attach separate sheet if additional space is needed.)
Contract #2
1. Customer Name 2. Customer’s Address
3. Name and Title of Contact Point 4. Contact Point’s Email Address
5. Contact Point’s Phone Number 6. Estimated Contract Value
9. Contract Status
___Ongoing ___Completed
10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the
Solicitation documents. Attach separate sheet if additional space is needed.)
Contract #3
1. Customer Name 2. Customer’s Address
3. Name and Title of Contact Point 4. Contact Point’s Email Address
5. Contact Point’s Phone Number 6. Estimated Contract Value
9. Contract Status
___Ongoing ___Completed
10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the
Solicitation documents. Attach separate sheet if additional space is needed.)
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