Attachment D.13 - Custom Pack Experience.docx
DOCX document 31 KB Posted
- Solicitation number
- 36C77625R0017
About this file
This is an Experience Information template (Attachment D.13) requiring offerors to document their past performance on custom sterile procedure pack contracts. The template requires details for a minimum of two contracts performed within the past five years, where each contract must have supported at least 20 medical facilities and 100 different custom pack configurations. Offerors must provide comprehensive information including contract points of contact, period of performance, dollar values, and whether they served as prime or subcontractor.
The template is part of solicitation 36C77624R0058 for the Department of Veterans Affairs, requiring offerors to submit an Excel spreadsheet for each referenced contract showing delivery locations and pack configurations. The document requires details such as agency names, addresses, contract numbers, facility locations, and descriptions of work performed. This experience documentation appears to be part of Factor 3 evaluation criteria for the broader VA custom sterile procedure packs procurement.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Factor 3: EXPERIENCE INFORMATION
INSTRUCTIONS TO OFFEROR
Complete the information below (type answers into light blue shaded boxes) and submit in Volume 4.
Provide a description of the work performed on a minimum of two (2) different custom sterile procedure pack contracts performed within the past five (5) years of this solicitation’s posting date. The contract experience must have supported a minimum of 20 medical facilities and a minimum of 100 different custom pack configurations (LINs or SKUs). Offeror shall submit a single excel spreadsheet for each contract listed on this attachment which lists a minimum of 20 medical facility delivery locations and a minimum of 100 different custom pack configurations, sorted by SKUs/LINs.
Offeror’s Name:
Offeror’s Address:
Offeror’s Point of Contact:
Offeror’s Phone number and email:
Solicitation Number: 36C77624R0058 Custom Sterile Procedure Packs
GENERAL INFORMATION - Experience #1 (Required)
Agency or Company Name
Street Address
Contract’s Point of Contact (Name & Title)
City
Point of Contact’s Phone Number
State
Contract / Project Title
Zip Code
Period of Performance (start to finish):
Contract Number
Annual /Total Dollar Value of contract
Number of Custom Packs (LINs or SKUs):
Number of Facilities served under this contract:
Location(s) of Facilities served under this contract:
Description of Work Performed
| Role of Offeror on this contract |
| ☐ Prime Contractor ☐ Sub-contractor |
Remarks/Additional Information (Please use as much space as needed – the box will expand as you type).
GENERAL INFORMATION - Experience #2 (Required)
Agency or Company Name
Street Address
Contract’s Point of Contact (Name & Title)
City
Point of Contact’s Phone Number
State
Contract / Project Title
Zip Code
Period of Performance (start to finish):
Contract Number
Annual /Total Dollar Value of contract
Number of Custom Packs (LINs or SKUs):
Number of Facilities served under this contract:
Location(s) of Facilities served under this contract:
Description of Work Performed
| Role of Offeror on this contract |
| ☐ Prime Contractor ☐ Sub-contractor |
Remarks/Additional Information (Please use as much space as needed – the box will expand as you type).
File details come from the government source that posted it. Updated .