Attachment 4 - Contractor Past Performance 653-24-103.docx
DOCX document 33 KB Posted
- Solicitation number
- 36C26024R0006
About this file
This document contains an offeror past performance report template for a federal contract solicitation. The template requires offerors to provide details on up to three relevant past performance projects, including contract values from $X to $Y, periods of performance from date A to date B, descriptions of roles and responsibilities, and comments on key personnel. The related federal contract opportunity is solicitation number 36C26024R0006 to provide refresh finishes services at Building 1AC D-Wing of the Roseburg VA Medical Center. The solicitation was issued by the Department of Veterans Affairs Veterans Health Administration VISN 20. Offerors must submit past performance reports using this template by the specified due date to be considered for the refresh finishes contract award.
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Text version
ATTACHMENT 4
OFFEROR PAST PERFORMANCE REPORT
653-24-103 REFRESH FINISHES BUILDING 1AC, D WING
ROSEBURG VAMC
PAST PERFORMANCE PROJECT #___ OF ___
*Indicates required information *Name of Offeror:
*Street Address:
*City: *State:
*Zip Code: *Country:
*Project Name:
Street Address:
*City: *State:
Zip Code: *Country:
| *Customer POC: |
| *POC Phone: *POC Email: |
The offeror shall ensure that the person named as reference can be contacted with the contact information specified. Unreachable references will result in disqualification of the client reference.
*Contract Percent Complete:
*Period of Performance:
From: ___________ To: _____________
*Contract Award Date:
Projected Completion Date:
Actual Completion Date:
*Total Contract Value:
*Contract Description:
(Brief description of work performed)
*Roles and Responsibilities: PRIME CONTRACTOR: ☐
*Relevancy:
(A brief narrative that addresses how the work performed is similar in scope and complexity to the project being bid)
(Optional) Problems:
(Problems encountered on the identified contract and offeror’s corrective actions)
Additional Information:
Subcontracts:
Were subcontracts involved? __Yes __No (Check one) Comment on subcontracts:
Offeror Key Personnel: (add additional lines as needed)
Offeror Manager/Principal Investigator (name):
Comment on Manager/Principal Investigator:
Offeror Key Person (name):
Comment on Key Person:
Offeror Key Person (name):
Comment on Key Person:
Attachment 4 – 653-24-101 REMODEL BUILDING 57 Page 6 of 6
File details come from the government source that posted it. Updated .