Attachment D.1 RELEVANT EXPERIENCE FORM.pdf
PDF 303 KB Posted
- Solicitation number
- 36C25626R0027
About this file
This is a Relevant Experience Form (Attachment D.1) for RFP 36C25626R0027 for Transplant Reference Laboratory Testing services at the Michael E. DeBakey VA Medical Center (MEDVAMC) in Houston, Texas.
The form is a template designed to collect contractor experience and past performance information. It requests that offerors list up to three relevant contracts in chronological order, beginning with the most recent. Contracts listed must not be more than five years old, though ongoing contracts that began more than five years ago may be included. For each contract, respondents must provide: customer name and address; contact point name, title, email address, and phone number; estimated contract value; contract term dates; contract effective date; contract status (ongoing or completed); and a detailed description of the scope of work performed. The form allows for attachment of separate sheets if additional space is needed for scope descriptions. This document serves as an evaluation tool to assess offeror qualifications and relevant experience in providing transplant reference laboratory testing services.
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Other files
| File | Type | Posted |
|---|---|---|
| RFP Amendment 36C25626R0027 0002.pdf | ||
| 36C25626R0027 0002_1.docx | DOCX document | |
| 36C25626R0027 0001_1.docx | DOCX document | |
| RFP Amendment 36C25626R0027 0001.pdf | ||
| Attachment D.4 QASP.pdf | ||
| Attachment D.2 WAGE DET.pdf | ||
| Attachment D.3 BBA.pdf | ||
| RFP 36C25626R0027 - Transplant Services MEDVAMC.pdf | ||
| 36C25626R0027_2.docx | DOCX document |
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Text version
RFP 36C25626R0027 Transplant Reference Laboratory Testing – 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.)
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
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
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