Attachment B - PAST PERFORMANCE REFERENCES.pdf

PDF 131 KB Posted

Attached to
Request for Janitorial Services Federal contract opportunity
Solicitation number
36C10X25Q0086
Issued by
Department of Veterans Affairs Strategic Acquisition Center Frederick

About this file

The document is a Past Performance References form for a federal contract opportunity for janitorial services. The template provides spaces for contractors to document up to three past performance references, with sections for details such as:

  • Offeror and company information
  • Relationship to offeror (prime or subcontractor)
  • Contract details (organization, contract/task order number, contract type)
  • Pricing information
  • Performance period
  • Contracting officer and program manager contact information
  • NAICS code
  • CPARS/PPIRS completion status

Each reference requires a description of the work performed and its relevance to the current solicitation, as well as a section to explain any performance issues, corrective actions taken, and resulting outcomes. The form appears to be part of the evaluation process for the VA Medical Center janitorial services contract in Waco, TX, allowing potential contractors to demonstrate their previous experience and performance history.

View the file

Other files for this federal contract opportunity

Other files attached to Request for Janitorial Services, newest first.
File Type Posted
Attachment I Base Period Task Order Pricing REV2.xlsx XLSX spreadsheet
36C10X25Q0086 0005 .pdf PDF
Attachment K - Waco Second Floor Plan.pdf PDF
Attachment J - Waco First Floor.pdf PDF
Attachment I Base Period Task Order Pricing REV1.xlsx XLSX spreadsheet
36C10X25Q0086 0004.pdf PDF
Attachment I Base Period Task Order Pricing.xlsx XLSX spreadsheet
36C10X25Q0086 0003.pdf PDF
Papertowels - Attachment H.docx DOCX document
36C10X25Q0086 0002.pdf PDF
Hand soap - Attachment G.jpg JPG image
Toilet paper - Attachment F.jpg JPG image
Attachment E Site Visit Registration Form.xlsx XLSX spreadsheet
36C10X25Q0086 0001.pdf PDF
Attachment A Wage Determination.pdf PDF
Pre-Proposal Inquiry Form.xlsx XLSX spreadsheet
36C10X25Q0086.pdf PDF
ATTACHMENT C - PAST PERFORMANCE QUESTIONNAIRE.pdf PDF
Show all 18

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Text version

D.1 ATTACHMENT A: PAST PERFORMANCE REFERENCES

No record of relevant or recent past performance Past Performance Reference # 1

OFFEROR NAME:

COMPANY who performed this work:

Relationship to OFFEROR: OFFEROR PROPOSED SUBCONTRACTOR

WORK PERFORMED AS THE: PRIME SUBCONTRACTOR

Name of Contracting Organization:

Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):

Contract Type:

Total Awarded Price/Cost:

Final or Projected Final Total Price/Cost:

Delivery date/Period of performance (including base and options if applicable):

Contracting Officer's Name, Email, and Telephone Number:

Program Manager's Name, Email, and

North American Industry Classification System (NAICS) Code:

CPARS/PPIRS Completed: YES NO Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.

Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS/PPIRS report for this reference are to be addressed.

Past Performance Reference # 2

OFFEROR NAME:

COMPANY who performed this work:

Relationship to OFFEROR: OFFEROR PROPOSED SUBCONTRACTOR

WORK PERFORMED AS THE: PRIME SUBCONTRACTOR

Name of Contracting Organization:

Contract / Task Order Number (for

Final or Projected Final Total Price/Cost:

Description of the Requirement: Provide a concise explanation of the work performed, specifically related

Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS/PPIRS report

Past Performance Reference # 3

OFFEROR NAME:

COMPANY who performed this work:

Relationship to OFFEROR: OFFEROR PROPOSED SUBCONTRACTOR

WORK PERFORMED AS THE: PRIME SUBCONTRACTOR

Name of Contracting Organization:

Contract / Task Order Number (for

Final or Projected Final Total Price/Cost:

Description of the Requirement: Provide a concise explanation of the work performed, specifically related

Performance: Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS/PPIRS report

Past Performance Reference 1:
OFFEROR NAME:
COMPANY who performed this work:
OFFEROR: Off
PROPOSED SUBCONTRACTOR: Off
PRIME: Off
SUBCONTRACTOR: Off
PRIME SUBCONTRACTORName of Contracting Organization:
PRIME SUBCONTRACTORContract Task Order Number for subcontracts provide the prime contract number and the subcontract number:
PRIME SUBCONTRACTORContract Type:
PRIME SUBCONTRACTORTotal Awarded PriceCost:
PRIME SUBCONTRACTORFinal or Projected Final Total PriceCost:
PRIME SUBCONTRACTORDelivery datePeriod of performance including base and options if applicable:
PRIME SUBCONTRACTORContracting Officers Name Email and Telephone Number:
PRIME SUBCONTRACTORProgram Managers Name Email and Telephone Number:
PRIME SUBCONTRACTORNorth American Industry Classification System NAICS Code:
CPARSPPIRS Completed:
undefined:
NO:
Description of the Requirement Provide a concise explanation of the work performed specifically related:
Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements:
Performance Explain any performance issues or problems that occurred corrective actions taken and any expected or realized results based on those corrective actions Any issues discussed in a CPARSPPIRS report for this reference are to be addressed:
OFFEROR NAME_2:
COMPANY who performed this work_2:
OFFEROR_2:
PROPOSED SUBCONTRACTOR_2:
undefined_2:
PRIME_2:
SUBCONTRACTOR_2:
Name of Contracting Organization:
Contract Task Order Number for subcontracts provide the prime contract number and the subcontract number:
Contract Type:
Total Awarded PriceCost:
Final or Projected Final Total PriceCost:
Delivery datePeriod of performance including base and options if applicable:
Contracting Officers Name Email and Telephone Number:
Program Managers Name Email and Telephone Number:
North American Industry Classification System NAICS Code:
CPARSPPIRS Completed_2:
YES:
NO_2:
Description of the Requirement Provide a concise explanation of the work performed specifically related_2:
Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements_2:
Performance Explain any performance issues or problems that occurred corrective actions taken and any expected or realized results based on those corrective actions Any issues discussed in a CPARSPPIRS report for this reference are to be addressed_2:
OFFEROR NAME_3:
COMPANY who performed this work_3:
OFFEROR_3:
PROPOSED SUBCONTRACTOR_3:
undefined_3:
PRIME_3:
SUBCONTRACTOR_3:
Name of Contracting Organization_2:
Contract Task Order Number for subcontracts provide the prime contract number and the subcontract number_2:
Contract Type_2:
Total Awarded PriceCost_2:
Final or Projected Final Total PriceCost_2:
Delivery datePeriod of performance including base and options if applicable_2:
Contracting Officers Name Email and Telephone Number_2:
Program Managers Name Email and Telephone Number_2:
North American Industry Classification System NAICS Code_2:
CPARSPPIRS Completed_3:
YES_2:
NO_3:
Description of the Requirement Provide a concise explanation of the work performed specifically related_3:
Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements_3:
Performance Explain any performance issues or problems that occurred corrective actions taken and any expected or realized results based on those corrective actions Any issues discussed in a CPARSPPIRS report for this reference are to be addressed_3:

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