Attachment D.1 Relevant Experience Form.pdf

PDF 825 KB Posted

Attached to
J049--Centrak RTLS Equipment Replacement See attached/within for details. Federal contract opportunity
Solicitation number
36C25626Q1298
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This is a Relevant Experience Form (Attachment D.1) for RFQ 36C25626Q1298 for CenTrak Equipment Replacement at MEDVAMC Houston, Texas. The form is a template designed to collect contractor experience documentation and does not specify required products or services.

The form requests bidders to 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, bidders must provide the customer name and address, contact point information (name, title, email, 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 as indicated in the RFQ documents. Bidders are instructed to use additional sheets if more space is needed for scope descriptions. This form serves as a mechanism for the government to evaluate contractor qualifications and past performance relevant to the CenTrak equipment replacement requirement.

View the file

Other files for this federal contract opportunity

Other files attached to J049--Centrak RTLS Equipment Replacement See attached/within for details., newest first.
File Type Posted
Combined Synopsis Solicitation RFQ 36C25626Q1298 - CenTrak Equipment Replacement.pdf PDF
Attachment D.2 - Past Performance.pdf PDF
36C25626Q1298_1.docx DOCX document
Attachment D.3 WAGE DET.pdf PDF

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

RFQ 36C25626Q1298 CenTrak Equipment Replacement – 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.)

RFQ 36C25626Q1298 CenTrak Equipment Replacement – 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

RFQ 36C25626Q1298 CenTrak Equipment Replacement – MEDVAMC Houston, Texas 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 .