Attachment 2-Relevant Experience Form.pdf

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Attached to
6520--CEREC Primescan AC TP with Steel Sleeve and Sustainment Agreement (Michael E. DeBakey VAMC)
Solicitation number
36C25624Q1487
Issued by

About this file

This document is an Attachment 2 - Relevant Experience Form related to a federal contract opportunity. The form requires the contractor to provide details on their recent contracts, including the customer name, contact information, contract value, term, status, and scope of work.

The federal contract opportunity is a Request for Quote (RFQ) from the Department of Veterans Affairs, Michael E. DeBakey VA Medical Center, for the procurement of a CEREC Primescan AC TP with Steel Sleeve and Sustainment Agreement. The solicitation number is 36C25624Q1487 and the requirement is being evaluated under FAR Part 13 Simplified Acquisition Procedures. Quotes are due by September 23, 2024 and the contract will be a Firm-Fixed Price. Offerors must complete specific sections of the solicitation, including providing pricing information, and submit their response in two volumes - a Technical Volume and a Price Volume.

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CSS_RFQ 36C25624Q1487.pdf PDF
Attachment 1-52.204-24.pdf PDF

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36C25624Q1487

ATTACHMENT #2

RELEVANT EXPERIENCE FORM

Please list your contracts in the chronological order beginning with the most recent one. Contracts listed cannot be more than 5 years old. You can list ongoing 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 Year)

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 Request

For Quote 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 Request

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 Request

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