Attachment D.1 Relevant Experience Form.pdf
PDF 185 KB Posted
- Solicitation number
- 36C25624Q1300
About this file
This document is an Attachment D.1 Relevant Experience Form for a federal contract opportunity. It requests the vendor to list up to three recent (within the last 5 years) relevant contracts, providing details such as customer name, contact information, contract value, term, status, and a description of the scope of work performed.
The related federal contract opportunity is for Elevator Safety Inspections at the Michael E. DeBakey VA Medical Center in Houston, Texas, with Solicitation Number 36C25624Q1300. The agency is the Department of Veterans Affairs, Veterans Health Administration, Veterans Integrated Service Network 16. No further details about the specific products, services, or requirements of the contract opportunity are provided in this document.
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Other files
| File | Type | Posted |
|---|---|---|
| RFQ Amendment 36C25624Q1300 0001.pdf | ||
| 36C25624Q1300 0001.docx | DOCX document | |
| Attachment D.2 Past Perfomance Worksheet.pdf | ||
| Combined Synopsis Solicitation RFQ 36C25624Q1300 - Elevator Inspection MEDVAMC.pdf | ||
| 36C25624Q1300_1.docx | DOCX document |
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36C25624Q1300 ELEVATOR INSPECTION – MEDVAMC Houston, Texas
Attachment D.1
Relevant Experience Form
Please list your contracts in the chronological order beginning with the most recent one. Contracts listed cannot be more than 5 years old. You can list ongoing contracts that began more than 5 years ago.
Contract #1
1. Customer Name 2. Customer’s Address
3. Name and Title of Contact Point 4. Contact Point’s Email Address
5. Contact Point’s Phone Number 6. Estimated 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 details the scope of works performed under this contract as indicated in the Request For Quote documents. Attach separate sheet if additional space is needed.)
36C256-19-Q-0630 ELEVATOR INSPECTION – MEDVAMC Houston, Texas
Contract #2
1. Customer Name 2. Customer’s Address
3. Name and Title of Contact Point 4. Contact Point’s Email Address
5. Contact Point’s Phone Number 6. Estimated 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 details the scope of works performed under this contract as indicated in the Request
36C256-19-Q-0630 ELEVATOR INSPECTION – MEDVAMC Houston, Texas
Contract #3
1. Customer Name 2. Customer’s Address
3. Name and Title of Contact Point 4. Contact Point’s Email Address
5. Contact Point’s Phone Number 6. Estimated 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 details the scope of works performed under this contract as indicated in the Request
File details come from the government source that posted it. Updated .