Attachment 3_Past Performance Worksheet.xlsx

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Attached to
H356--Testing and Inspection BPA RFQ
Solicitation number
36C24124Q0066
Issued by

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This document contains a past performance worksheet template for federal contractors to submit references from three previous government contracts or commercial projects. The template requests details on contract numbers, award and completion dates, values, types of work performed, points of contact, and descriptions of major subcontractors if applicable.

The related federal contract opportunity is a solicitation from the Department of Veterans Affairs Veterans Health Administration VISN 1 seeking testing and inspection services under an indefinite delivery/indefinite quantity blanket purchase agreement. Contractors should submit their past performance worksheets providing references demonstrating experience in these types of services for consideration. The solicitation number is 36C24124Q0066 and opportunity closes on June 6, 2024.

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File Type Posted
36C24124Q0066.docx DOCX document
Attachment 1_PWS.pdf PDF
Attachment 2_Cost-Price Schedule.xlsx XLSX spreadsheet

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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 .