Attachment 3_Past Performance Worksheet.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
White River Junction HVAC Filter Delivery and Installation BPA
Solicitation number
36C24126Q0808
Issued by

About this file

This is a Past Performance Worksheet template designed for contractors to document their relevant contract experience in response to the White River Junction HVAC Filter Delivery and Installation BPA solicitation (36C24126Q0808). The worksheet provides a standardized format for submitting up to three past performance references, with each reference requiring comprehensive contract information including the contracting organization name and address, contract number, award and performance dates, contract value, contract type, and technical and contracting points of contact with full contact details. Contractors must describe the scope of work performed, identify any commendations or awards received, and list major subcontractors for each reference.

This template is relevant to a Veteran Owned Small Business set-aside solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1 for HVAC air filter supply, delivery, and installation services at the White River Junction VAMC in Vermont. The BPA has a speculated performance start date of October 1, 2026, and the associated NAICS code is 333413 (Industrial and Commercial Fan and Blower and Air Purification Equipment Manufacturing) with a 500-employee size standard. Contractors responding to this RFQ must complete this past performance worksheet and submit it along with the Cost-Price Schedule (Attachment 2) to demonstrate relevant experience and capability to perform the required services.

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Other files

File Type Posted
Attachment 4_Labor Cost Price Schedule.pdf PDF
Attachment 5_Questions and Answers.pdf PDF
36C24126Q0808.docx DOCX document
Attachment 1_PWS HVAC Air Filter.docx DOCX document
Attachment 2_Cost Price Schedule - X Filter List.xlsx XLSX spreadsheet

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Text version

REF #1

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

REF #2

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

REF #3

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

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