Attachment 4 - Contractor Past Performance.docx
DOCX document 30 KB Posted
- Attached to
- Y1DA--CON 653-24-101 Remodel Building 57
- Solicitation number
- 36C26024R0005
About this file
This document is an attachment to a federal solicitation providing a template for offerors to submit past performance references. The solicitation is from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20 for project Y1DA--CON 653-24-101 to remodel building 57 at an unspecified location. Offerors must provide details on at least one past project including the client name and contact information, percentage and dates of project completion, total contract value, description of work performed, offeror's roles and responsibilities, relevance to the current project, any problems encountered and solutions, as well as information on key personnel and any subcontractors involved.
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Text version
ATTACHMENT 4
OFFEROR PAST PERFORMANCE REPORT
*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 Page 6 of 6
File details come from the government source that posted it. Updated .