Attachment 4 - Reference Sheet.pdf
PDF 316 KB Posted
- Attached to
- Endoscope Drying Storage Cabinets - Travis AFB, CA Federal contract opportunity
- Solicitation number
- FA442720R0031
About this file
This document includes a solicitation for endoscope drying storage cabinets and a reference sheet template. The solicitation is from the Department of the Air Force Air Mobility Command for Travis Air Force Base in California. It requests four Steelco drying and storage cabinets or equal to be installed at the base's gastroenterology, general surgery, and urology clinics. The cabinets must provide electronic tracking, barcode scanning, HEPA filtration, and an air compressor for channel drying. The contractor will be responsible for set up, training, removing old cabinets, installing drywall and paint patching, adding electrical circuits, and seismic anchoring. The work must be done during normal hours and meet infection control standards. A site visit is recommended. The reference sheet template requests information on past performance references including contract details, subcontractor involvement, and percentages of work performed.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 2 Q and A.pdf | ||
| Amendment 2.pdf | ||
| Amendment 1 Q and A.pdf | ||
| Amendment 1.pdf | ||
| Attachment 3 - Site Visit and Questions.pdf | ||
| Attachment 2 - Technical Evaluation Factors.pdf | ||
| Solicitation - FA442720R0031.pdf | ||
| Attachment 1 - Statement of Work.pdf |
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Text version
Attachment 3 - List of References
PAST PERFORMANCE LIST OF REFERENCES
Vendor Name:
CONTRACT NUMBER
(include task order number(s) if applicable)
DESCRIPTION OF WORK PERFORMED
(performed as a prime/sub-contractor, details i.e.
number of FTE, position type, full-time or session-based, %performed, etc. )
CONTRACT
PERIOD OF
PERFORMANCE
(POP)
CONTRACTING AGENCY
POC/CUSTOMER NAME, PHONE #
CONTRACT VALUES
(include total contract amount, annual amount and POP for annual amount)
PERFORMED BY A
PROPOSED
SUBCONTRACTOR
AFFILIATE, OR
JOINT VENTURE?
(If yes, please complete Page 2)
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
Total: $
Annual: $
POP for Annual:
CONTRACT NUMBER
(include task order number(s) if applicable)
SUBCONTRACTOR,
AFFILIATE, OR
JOINT VENTURE
DESCRIBE FUNCTION/TASK/3RD PARTY AFFECT ON PERFORMANCE
1. If proposing to use a Subcontractor, Affiliate, or Joint Venture for this effort, include percentage of work, splitting of cost, type of services i.e. accounting, recruiting, etc they will perform for this effort (provide information below)
2. If contractor proposing on this effort provided past performance they performed as a Subcontractor, Affiliate, or Joint Venture, include percentage of work, splitting of cost, type of services performed, i.e. accounting, recruiting, etc for that effort (provide information below)
1.
2.
1.
2.
1.
2.
Attachment 3 - List of References
File details come from the government source that posted it. Updated .