Attachment D.1 Relevant Experience Form.pdf
PDF 984 KB Posted
- Attached to
- 6350--CenTrak RTLS Remediation
- Solicitation number
- 36C25626Q1300
About this file
This is a Relevant Experience Form (Attachment D.1) for RFQ 36C25626Q1300 concerning CenTrak Real-Time Location System (RTLS) Remediation services at MEDVAMC Houston, Texas. The form is a template designed for offerors to document their past contract performance and relevant experience.
The form requires submission of up to three contracts listed in chronological order beginning with the most recent. Acceptable contracts cannot be more than five years old, though ongoing contracts that began more than five years ago may be listed. For each contract, offerors must provide: customer name and address; contact point name, title, email address, and phone number; estimated contract value; contract term with start and end 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. The form explicitly states that additional space may be used on separate sheets if needed for the scope of work descriptions. This document serves as an evaluation tool to assess contractor qualifications and past performance relevant to the CenTrak RTLS remediation project.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment D.2 - Past Performance.pdf | ||
| 36C25626Q1300.docx | DOCX document | |
| Combined Synopsis RFQ 36C25626Q1300 - CenTrak RTLS Remediation.pdf |
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Text version
RFQ 36C25626Q1300 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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