ATTACHMENT F - PAST PERFORMANCE REFERENCE - NX EQ HOUSEKEEPING CARTS.docx
DOCX document 18 KB Posted
- Attached to
- 7240--NX EQ Housekeeping Carts (VA-26-00014798)
- Solicitation number
- 36C10X26Q0102
About this file
This is a Past Performance Reference template for Solicitation 36C10X26Q0102 regarding NX EQ Housekeeping Carts. The document is a blank form designed for offerors to provide up to three past performance references demonstrating relevant experience in supplying housekeeping carts and similar commercial items. Each reference section requires offerors to identify the company that performed the work, specify whether they served as the prime contractor or subcontractor, provide the contracting organization's details, and supply the contract or task order number along with contract type and pricing information. Additionally, offerors must document the delivery date and period of performance, including base and option periods, and provide contact information for the Contracting Officer and Program Manager.
For each reference, offerors must include the applicable North American Industry Classification System (NAICS) code and indicate whether a CPARS/PPIRS report was completed. Crucially, offerors must provide a detailed description of the work performed, explicitly connecting it to the solicitation's requirements for housekeeping carts, and describe the performance outcomes, including any performance issues encountered, corrective actions implemented, and results achieved. The template emphasizes that any performance problems documented in CPARS/PPIRS reports must be addressed within the response. This template serves as the evaluation mechanism for assessing offerors' ability to successfully perform on the VA's housekeeping cart procurement.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C10X26Q0102 0001 - Amendment - Housekeeping Carts.docx | DOCX document | |
| ATTACHMENT C - CONTRACT CLAUSES - NX EQ HOUSEKEEPING CARTS.docx | DOCX document | |
| ATTACHMENT E - REPORTING TOOL - NX EQ HOUSEKEEPING CARTS.xlsx | XLSX spreadsheet | |
| ATTACHMENT G - PAST PERFORMANCE QUESTIONNAIRE - NX EQ HOUSEKEEPING CARTS.docx | DOCX document | |
| ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ HOUSEKEEPING CARTS.docx | DOCX document | |
| ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ HOUSEKEEPING CARTS.docx | DOCX document | |
| ATTACHMENT A - PRICE COST SCHEDULE - NX EQ HOUSEKEEPING CARTS.xlsx | XLSX spreadsheet | |
| 36C10X26Q0102.docx | DOCX document |
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Text version
ATTACHMENT F: PAST PERFORMANCE REFERENCE
NX EQ HOUSEKEEPING CARTS
SOLICITATION: 36C10X26Q0102
☐ 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/PPIRS Completed:
Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
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/PPIRS 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/PPIRS Completed:
Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
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/PPIRS 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/PPIRS Completed:
Description of the Requirement: Provide a concise explanation of the work performed, specifically related to how it is relevant to this solicitation’s requirements.
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/PPIRS report for this reference are to be addressed.
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