Attachment A - Past Performance Worksheet.xlsx

17 KB Posted

Attached to
Amendment 0001 - Medical Gas Inspections
Solicitation number
36C24124Q0482
Issued by

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This document is an Attachment A - Past Performance Worksheet that provides details on three past performance references for a federal contract opportunity.

The first reference details a contract with the Department of Veterans Affairs for preventative maintenance services, with a contract value of an unspecified amount. The contract had a Technical Point of Contact and a Contracting Point of Contact listed, along with the place of performance and a description of the work performed. The second and third references follow a similar format, listing the contracting activity, contract number, dates, value, type of contract, and points of contact.

The related federal contract opportunity is a solicitation from the Department of Veterans Affairs Veterans Health Administration for Medical Gas Inspections. The vendor shall perform annual medical gas inspections per NFPA 99 Health Care Facilities requirements prior to use of any medical gas piping system for patient care. The solicitation number is 36C24124Q0482.

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Attachment C - SCA WAGE DETERMINATION 2015-4035 REV 26.pdf PDF
Attachment B - LOS Certification.pdf PDF
36C24124Q0482.pdf PDF
Attachment D - SCA WAGE DETERMINATION 2015-4047 REV 25.pdf PDF
Attachment E - SCA WAGE DETERMINATION 2015-4055 REV 27.pdf PDF

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REF #1

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization: Preventative Maintenance, Department of Veterans Affiars
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

REF #2

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

REF #3

1. Name of Contracting Activity, Government Agency, Commerical Firm or other Organization:
2. Contracting Activity Address:
3. Contract Number:4. Date of Contract Award:
5. Beginning Date of Contract:6. Completion Date of Contract:
7. Contract Value:8. Type of Contract:
9a. Technical Point of Contact:9b. Contracting Point of Contact:
Name:Name:
Title:Title:
Address:Address:
Telephone:Telephone:
Email:Email:
10. Place of Performance:
11. Description of Work (Use a continuation sheet if necessary):
12. List any commendations or awards received:
13. List of Major Subcontractors:

File details come from the government source that posted it. Updated .