Attachment 5 - EXHIBIT A Past Performance Reference Form_531-22-103.docx

This is a Past Performance Reference Form template for VA Solicitation No. 36C26026R0046, BVAMC Project No. 531-22-103, Add Parking on Parade Grounds. The form is provided as a blank template for offerors to complete when submitting project references that lack documentation in government databases such as CPARS. Contractors must provide complete and accurate information for each past performance project to ensure valid evaluation by the Department of Veterans Affairs.

The form requires offerors to supply company name, street address, point of contact information, reference project title, contract period of performance dates, contract number, contract dollar value, and a description of work performed. Contractors must also specify their role on the project by indicating whether they served as prime contractor or sub-contractor, and identify key personnel involved. The VA emphasizes that failure to provide complete and accurate past performance information may result in an invalid response to the solicitation, making timely and thorough completion of this reference form essential for proposal submission.