ATTACHMENT 3 Past Performance Questionaire.pdf
PDF 144 KB Posted
- Attached to
- Q301--VISN 5 Reference Lab Testing
- Solicitation number
- 36C24526R0021
About this file
This is a Past Performance Questionnaire template designed to collect contractor experience and qualifications for a federal contract opportunity involving laboratory services and biomedical materials transportation.
The questionnaire requires offerors to provide contractor point of contact information (name, title, phone, email) and company information (name, address, SAM UEI or DUNS number, tax ID, business size, and business type). Contractors must submit up to three past contracts for the same or similar services performed within the past three years from the solicitation issuance date. For each contract reference, offerors must provide the company name, point of contact details, dollar amount, contract number, and period of performance. Additionally, offerors must include written rationale explaining the relevance of each past contract and how the work performed was comparable in size, scope, and complexity to the proposed effort, with specific connections between past contract aspects and the proposed work. The questionnaire includes two yes/no questions: whether the contractor has at least three years of experience providing laboratory services and at least one year of experience transporting biomedical materials, and whether the contractor has ever received adverse contract actions such as stop work orders, cure notices, show cause letters, marginal or unsatisfactory CPARS ratings, contract discrepancy reports, or terminations for cause.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24526R0021 0002.docx | DOCX document | |
| 36C24526R0021 0001.docx | DOCX document | |
| ATTACHMENT 6 SVC WAGE RATE 15-4295.txt | TXT text file | |
| ATTACHMENT 4 MOU ISA Intake Form Instructions.pdf | ||
| ATTACHMENT 2 WESTERN REGION LINE ITEMS.xlsx | XLSX spreadsheet | |
| ATTACHMENT 1 EASTERN REGION LINE ITEMS.xlsx | XLSX spreadsheet | |
| ATTACHMENT 9 SVC WAGE RATE 15-4297.txt | TXT text file | |
| 36C24526R0021_1.docx | DOCX document | |
| ATTACHMENT 8 SVC WAGE RATE 15-4281.txt | TXT text file | |
| ATTACHMENT 10 VAAR 852.219-75.docx | DOCX document | |
| ATTACHMENT 7 SVC WAGE RATE 15-4353.txt | TXT text file | |
| ATTACHMENT 5 SVC WAGE RATE 15-4265.txt | TXT text file |
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Text version
PAST PERFORMANCE QUESNTIONAIRE
a) Contractor Point of Contact to include:
a. Name:
b. Title:
c. Phone:
d. Email:
b) Company Information to include:
a. Name:
b. Address:
c. SAM UEI or DUNS Number:
d. Tax ID Number:
e. Business Size:
f. Business Type:
c) Contractor shall provide up to 3 past contracts for the same or similar services
Instructions for below:
The submittal shall include rationale supporting the assertion of relevance and how it was determined that the work performed previously was the same or similar in size, scope, and complexity to the work specified by this solicitation.
Offerors are required to explain what aspects of the contracts are deemed relevant to the proposed effort, and to what aspects of the proposed effort they relate. To be recent, the effort must be ongoing or must have been performed during the past three (3) years from the date of issuance of this solicitation. The offeror SHALL NOT go back any farther than three (3) years for the submitted data.
Company 1 Company 2 Company 3 Name of Company:
Company POC:
Company POC phone:
Company POC email Dollar amount of contract:
Contract number:
Period of Performance:
Company 1___________________________________________________________
Company 2___________________________________________________________
Company 3___________________________________________________________
Y N (check yes or no)
☐☐ Do you have at least three years of experience providing laboratory services and at least one year experience in transporting biomedical materials?
☐☐ Have you ever received a Stop Work Order, Cure Notice, Show Cause Letter, Marginal or Unsatisfactory CPARS, Contract Discrepancy Report, other analogous letter or a termination for cause.
File details come from the government source that posted it. Updated .