Attachment C - PAST PERFORMANCE QUESTIONNAIRE.pdf

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Attached to
Request for Proposal for Elevator Upgrades at Richmond VAMC, Virginia. Federal contract opportunity
Solicitation number
36C24624R0048
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6

About this file

This document is a Past Performance Questionnaire template that is part of Request for Proposal (RFP) 36C24624R0048 for Elevator Upgrades Phase 2 at the Richmond VA Medical Center in Virginia. The RFP requires offerors to provide a minimum of 3 and maximum of 5 examples of completed or in-progress contracts similar in size and scope, with a minimum value exceeding $1.5 million. The questionnaire requests details such as customer/company name, point of contact information, contract value, duration, status, and a detailed description of the scope of work performed. This information will be used to evaluate the offeror's past performance and corporate experience as part of the technical capability evaluation factor for this solicitation.

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RFP 36C24624R0048

ATTACHMENT C: PAST PERFORMANCE QUESTIONNAIRE

Please list your contracts in chronological order beginning with the most recent one. Offerors must provide a minimum of three (3) and a maximum of five (5) examples of their choice of completed projects or in progress of similar contracts in size and scope with a minimum threshold value exceeding $1,500,000. See Technical Capability Sub-Factor 2 – Corporate Experience for all required information to be included.

Contract #1

1. Customer/Company Name 2. Customer’s Address

3. Name and Title of Point of Contact 4. Point of Contact’s Email Address

5. Point of Contact’s Phone Number 6. Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status ___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)

Contract #2

1. Customer/Company Name 2. Customer’s Address

3. Name and Title of Point of Contact 4. Point of Contact’s Email Address

5. Point of Contact’s Phone Number 6. Contract Value

9. Contract Status ___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as

Contract #3

3. Name and Title of Point of Contact 4. Point of Contact’s Email Address

5. Point of Contact’s Phone Number 6. Contract Value

9. Contract Status ___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as

Contract #4

3. Name and Title of Point of Contact 4. Point of Contact’s Email Address

5. Point of Contact’s Phone Number 6. Contract Value

9. Contract Status ___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as

Contract #5

3. Name and Title of Point of Contact 4. Point of Contact’s Email Address

5. Point of Contact’s Phone Number 6. Contract Value

9. Contract Status ___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as

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