Attachment D.1 Relevant Experience Form.pdf
PDF 663 KB Posted
- Attached to
- J049--Centrak RTLS MSA Cancellation of RFQ
- Solicitation number
- 36C25626Q1224
About this file
This is a Relevant Experience Form (Attachment D.1) for RFQ 36C25626Q1224 concerning CenTrak RTLS (Real-Time Location System) equipment for the Medical Center MEDVAMC Houston, Texas. The form is a template designed to collect contractor experience data and does not specify required products or services beyond the RFQ title reference.
The form requests that contractors list up to three relevant contracts in chronological order, beginning with the most recent, with contracts limited to those no more than five years old (though ongoing contracts that began earlier may be included). For each contract entry, contractors must provide: customer name and address; contact point name, title, email, and phone number; estimated contract value; contract term dates and effective date; contract status (ongoing or completed); and a detailed scope of contract requirements describing work performed under the Request for Quote documents. The form spans three pages with identical formatting for each of the three contract slots, allowing contractors to demonstrate relevant experience and capability to perform the CenTrak RTLS equipment procurement for MEDVAMC Houston.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25626Q1224 0003_1.docx | DOCX document | |
| Amendment 36C25626Q1224 0003 - RFQ Cancellation.pdf | ||
| RFQ Amendment 36C25626Q1224 CenTrak RTLS MAS 0002 Extension.pdf | ||
| 36C25626Q1224 0002.docx | DOCX document | |
| 36C25626Q1224 0001.docx | DOCX document | |
| RFQ Amendment 36C25626Q1224 CenTrak RTLS MAS 0001 Q and A.pdf | ||
| Attachment D.2 WAGE DET.pdf | ||
| Combined Synopsis Solicitation RFQ 36C25626Q1224 - CenTrak RTLS MSA.pdf | ||
| 36C25626Q1224_1.docx | DOCX document |
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Text version
RFQ 36C25626Q1224 CenTrak RTLS MAS – 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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