ATTACHMENT D.4 - EXPERIENCE REFERENCE CONTRACT WORKSHEET.pdf

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Attached to
General Surgeon Per Procedure Fayetteville, AR
Solicitation number
36C25624Q0187
Issued by

About this file

This document provides guidance for references related to a federal contract solicitation for general surgery services. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 located in Fayetteville, Arkansas. Offerors must provide details on a past contract for the same or similar services, including the legal name of the contracting entity, contract number, awarded value, description of tasks performed, geographic location, dates of performance, whether the reference is for the offeror or proposed subcontractor, and contact information for a reference at the contracting entity. General statements lacking these specifics will not be considered.

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Text version

36C25623Q0934

Experience Reference Contract

ATTACHMENT D.4: Worksheet. No other format shall be used.

(1) the legal name of entity with whom the Offeror held the contract:

(2) the contract number and awarded value:

(3) whether the contract was for the same Services, or for services of a similar nature, size, scope, dynamic environment and complexity, utilizing a comparable number of personnel with like skills.

(4) a description providing details of the specific tasks the Offeror performed under that contract;

(5) in what geographic location the Offeror performed these services;

(6) the dates during which the Offeror performed the contract;

(7) whether the provided reference contract is for services provided by the Offeror or provided by a proposed subcontractor of the Offeror’s;

(8) whether the Offeror or its proposed subcontractor was the prime contractor or a subcontractor for that provided reference contract;

(9) the name, phone number, and email address of a person at the entity with whom the Offeror (or Offeror’s proposed subcontractor) held the contract who can verify the information the Offeror provides in the narrative description for this factor.

NOTE: The information requested above is required for the Government to evaluate proposals for the Experience evaluation factor. General statements claiming experience providing General Surgery Physician services, or services of a similar nature, size, scope, dynamic environment and complexity, utilizing a comparable number of personnel with like skills, that do not include specific references to prior contract work, or that do not include the information required above, are not acceptable.

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