attachment 4 - past performance questionnaire.pdf

PDF 323 KB Posted

Attached to
S222--Amendment to RFQ Regulated Medical Waste Federal contract opportunity
Solicitation number
36C25622Q0263
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This document is a request for quotes for regulated medical waste services. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 for the Michael E. DeBakey VA Medical Center in Houston, Texas and affiliated facilities. Quotes are due by June 21, 2022 and must remain valid for 120 days. The base period of performance is July 1, 2022 to June 30, 2023 with four optional one-year extensions. The set-aside is for Service-Disabled Veteran Owned Small Businesses. Quotes will be evaluated comparatively based on factors in the simplified acquisition procedures of FAR 13. Required services include regulated medical waste collection and disposal for the VA medical center and affiliated facilities as described in the performance work statement.

The solicitation incorporates FAR provisions and clauses for commercial items and the VAAR clauses by reference. Attachments include option year pricing factors, wage determinations, a quality assurance surveillance plan, and a past performance questionnaire for offerors.

View the file

Other files for this federal contract opportunity

Other files attached to S222--Amendment to RFQ Regulated Medical Waste, newest first.
File Type Posted
36C25622Q0263 0002_1.docx DOCX document
pws regulated medical waste.pdf PDF
question _ answer rmw.pdf PDF
36C25622Q0263 0002.pdf PDF
RFQ 36C25622Q0263 Amendment 0001.pdf PDF
36C25622Q0263 0001_1.docx DOCX document
wd angelina.pdf PDF
attachment 2 wage determination.pdf PDF
RFQ 36C25622Q0263 NEW.pdf PDF
36C25622Q0263_1.docx DOCX document
attachment 3 rmw quality assurance surveillance plan.pdf PDF
wd harris.pdf PDF
attachment 1 far 52.217-8 six month option pricing.pdf PDF
wd jefferson.pdf PDF
Show all 14

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Text version

Attachment D.4 – Past Performance - 36C2562 Q0263

Past Performance

Please list your contracts in the chronological order beginning with the most recent one.

Contracts shall be relevant to the Solicitation. Contracts listed cannot be more than years old.

You can list ongoing contracts that began more than years ago.

Contract #1

1. Customer Name 2. Customer’s Address

3. Name and Title of Point of Contact 4. Point of Contact’s Email Address

5. Point of Contact’s Phone Number 6. Estimated Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the

Solicitation documents. Attach separate sheet if additional space is needed.)

4 263

Contract #2

1. Customer Name 2. Customer’s Address

3. Name and Title of Point of Contact 4. Point of Contact’s Email Address

5. Point of Contact’s Phone Number 6. Estimated Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the

4 263

Contract #3

1. Customer Name 2. Customer’s Address

3. Name and Title of Point of Contact 4. Point of Contact’s Email Address

5. Point of Contact’s Phone Number 6. Estimated Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the

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