ATTACHMENT B LIST OF PAST PERF REF.docx
DOCX document 17 KB Posted
- Attached to
- H341--Fire and Smoke Damper Testing
- Solicitation number
- 36C25626Q0376
About this file
This is a past performance references template form for solicitation 36C25626Q0376. The attachment serves as a standardized appendix requiring offerors to provide three past performance references. Each reference section requires completion of the contracting activity name, location, contract number, point of contact, telephone number, dollar amount, and a brief description of services provided. The form provides blank fields for vendors to populate with relevant contract history information that demonstrates their capability to perform similar work.
This template is part of a Request for Quotation issued by the Gulf Coast Veterans Health Care System, Network Contracting Office 16 in Biloxi, Mississippi for fire and smoke damper testing, mapping, inspection, and repair services at the Joint Ambulatory Care Center in Pensacola, Florida. The requirement is set-aside 100% for Service-Disabled Veteran Owned Small Businesses (SDVOSB) with a firm-fixed-price contract structure. The performance period runs from February 27, 2026 through June 27, 2026, with a proposal deadline of 12:00 PM Central Time on February 20, 2026. Offerors must demonstrate active SAM database registration and may be required to show that at least 51 percent of personnel costs are attributed to SDVOSB employees.
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Text version
ATTACHMENT B – LIST OF PAST PERFORMANCE REFERENCES
36C25626Q0376
PAST PERFORMANCE REFERENCES
REFERENCE 1:
Contracting Activity Name:_________________________________ Location:_____________________________________ Contract Number:______________________________ Point Of Contact:______________________________ Telephone Number:____________________________ Dollar Amount:__________________ Brief Description of Services Provided: _______________________________________
REFERENCE 2:
Contracting Activity Name:_________________________________ Location:_____________________________________ Contract Number:______________________________ Point Of Contact:______________________________ Telephone Number:____________________________ Dollar Amount:__________________ Brief Description of Services Provided: _______________________________________
REFERENCE 3:
Contracting Activity Name:_________________________________ Location:_____________________________________ Contract Number:______________________________ Point Of Contact:______________________________ Telephone Number:____________________________ Dollar Amount:__________________ Brief Description of Services Provided: _______________________________________
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