Attachment A - Past Performance Worksheet.xlsx

17 KB Posted

Attached to
Amendment 0002 - Underground and Above Ground Storage Tank Inspection Testing Services
Solicitation number
36C24124Q0617
Issued by

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This document is an Attachment A - Past Performance Worksheet that is part of a federal contract opportunity. The worksheet provides a template for submitting past performance information, including the name of the contracting activity, contract number, dates, contract value, type of contract, points of contact, place of performance, description of work, commendations/awards, and major subcontractors.

The related federal contract opportunity is for Underground and Above Ground Storage Tank Inspection Testing Services for the VA Boston Healthcare System, including the West Roxbury VAMC, Brockton VAMC, and Jamaica Plain VAMC. The vendor shall submit state and local permit applications with associated fees on behalf of VABHS. All third-party inspectors must be registered and certified through the MASSDEP UST program. The solicitation number is 36C24124Q0617, and the procuring agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1.

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Other files

File Type Posted
36C24124Q0617 0002.pdf PDF
36C24124Q0617 0001.pdf PDF
SCA Wage Determination 2015-4055 Rev 28 dated 4.5.2024.pdf PDF
Attachment B - LOS Certification.pdf PDF
SCA Wage Determination 2015-4047 Rev 26 dated 4.5.2024.pdf PDF
36C24124Q0617.pdf PDF
SCA Wage Determination 2015-4035 Rev 27 dated 4.5.2024.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 .