Attachment D.1 Relevant Experience Form.pdf

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Attached to
6350--CenTrak RTLS Remediation RFQ Cancellation
Solicitation number
36C25626Q1188
Issued by

About this file

This is a Relevant Experience Form (Attachment D.1) for RFQ 36C25626Q1188 concerning CenTrak RTLS Remediation services at MEDVAMC Houston, Texas. The form is a template designed for contractors to demonstrate their qualifications and past performance.

The form requires bidders to list up to three contracts in chronological order, with the most recent listed first. Contracts must not be more than five years old; however, ongoing contracts that began more than five years ago are acceptable. For each contract, respondents must provide: customer name and address; contact point name, title, email, and phone number; estimated contract value; contract term (from and through dates); contract effective date; contract status (ongoing or completed); and a detailed description of the scope of work performed as it relates to the Request for Quote documents. Bidders are instructed to attach separate sheets if additional space is needed for the scope of work descriptions. The form consists of three identical contract entry sections spanning three pages.

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RFQ 36C25626Q1188 CenTrak RTLS Remediation – 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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