Attachment E_Past Performance References_36C10X26Q0123.docx
DOCX document 26 KB Posted
- Solicitation number
- 36C10X26Q0123
About this file
This is a Past Performance References attachment for solicitation 36C10X26Q0123, a Request for Quote issued by the Department of Veterans Affairs for NX EQ Automated Coverslipper Machines. The document is a template form containing three sections for offerors to provide past performance references demonstrating relevant experience with similar equipment or services.
The template requires offerors to document performance on up to three past contracts or task orders, including details such as the contracting organization, contract number, contract type, awarded price, delivery period, contracting officer and program manager contact information, and NAICS code. For each reference, offerors must provide a description of the work performed and its relevance to the current solicitation requirements, along with an explanation of any performance issues encountered, corrective actions taken, and results achieved. The form notes "No record of relevant or recent past performance," indicating this is a blank template awaiting completion by interested quoters. Completion of CPARS evaluations is required for each reference cited.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment C_Sales Reporting Tool_36C10X26Q0123.xlsx | XLSX spreadsheet | |
| 36C10X26Q0123.pdf | ||
| Attachment F_Past Performance Questionnaire_36C10X26Q0123.docx | DOCX document | |
| Attachment D_Price Cost Schedule_36C10X26Q0123.xlsx | XLSX spreadsheet | |
| Attachment B_Product Description_36C10X26Q0123.pdf | ||
| Attachment G_Template for Industry Questions_36C10X26Q0123.xlsx | XLSX spreadsheet | |
| 36C10X26Q0123.docx | DOCX document |
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ATTACHMENT E: PAST PERFORMANCE REFERENCES
Automated Coverslipper Machines
SOLICITATION: 36C10X26Q0123
☐ No record of relevant or recent past performance.
Past Performance Reference # 1
OFFEROR NAME:
COMPANY who performed this work:
| Relationship to offeror: |
| ☐ OFFEROR ☐ SUBCONTRACTOR |
| Role on the Contract: |
| ☐ PRIME ☐ SUBCONTRACTOR |
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
| CPARS Completed: |
| ☐ Yes ☐ No |
Description of the Requirement: [Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.]
[Description of Requirement Continued]
Performance: [Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS report for this reference are to be addressed.]
Past Performance Reference # 2
OFFEROR NAME:
COMPANY who performed this work:
| Relationship to offeror: |
| ☐ OFFEROR ☐ SUBCONTRACTOR |
| Role on the Contract: |
| ☐ PRIME ☐ SUBCONTRACTOR |
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
| CPARS Completed: |
| ☐ Yes ☐ No |
Description of the Requirement: [Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.]
[Description of Requirement Continued]
Performance: [Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS report for this reference are to be addressed.]
Past Performance Reference # 3
OFFEROR NAME:
COMPANY who performed this work:
| Relationship to offeror: |
| ☐ OFFEROR ☐ SUBCONTRACTOR |
| Role on the Contract: |
| ☐ PRIME ☐ SUBCONTRACTOR |
Name of Contracting Organization:
Contract / Task Order Number (for subcontracts, provide the prime contract number and the subcontract number):
Contract Type:
Total Awarded Price/Cost:
Final or Projected Final Total Price/Cost:
Delivery date/Period of performance (including base and options if applicable):
Contracting Officer's Name, Email, and Telephone Number:
Program Manager's Name, Email, and Telephone Number:
North American Industry Classification System (NAICS) Code:
| CPARS Completed: |
| ☐ Yes ☐ No |
Description of the Requirement: [Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.]
[Description of Requirement Continued]
Performance: [Explain any performance issues or problems that occurred, corrective actions taken, and any expected or realized results based on those corrective actions. Any issues discussed in a CPARS report for this reference are to be addressed.]
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