ATTACHMENT F - PAST PERFORMANCE REFERENCE - NX EQ Infusion Pumps Multitherapy Ambulatory.docx
DOCX document 20 KB Posted
- Solicitation number
- 36C10G25Q0081
About this file
This document is an Attachment F Past Performance Reference form for a federal solicitation related to NX EQ Infusion Pumps Multitherapy Ambulatory. The solicitation (36C10G25Q0081) is issued by the Veterans Health Administration (VHA) for a single award Requirements contract to purchase ICU Medical A brand name or equal Infusion Pumps Multitherapy Ambulatory for VA Medical Centers nationwide. The procurement is set aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB) and covers 13 specific Contract Line Items (CLINs) for infusion pumps, accessories, and related equipment.
Key solicitation details include a one-year base period with four 12-month option years, FOB Destination delivery, and firm-fixed price orders. Quotes are due by June 16, 2025, at 11:59 PM EST to the Contracting Officer Kimberly LeMieux. The pumps are designed for delivering parenteral agents in various medical settings, including continuous and intermittent infusions for treatments like chemotherapy, antibiotics, and pain management. Vendors must demonstrate their products meet specific salient characteristics, including FDA clearance, pole mounting capability, patient-controlled analgesia mode, and weight restrictions.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C10G25Q0081 0004.docx | DOCX document | |
| 36C10G25Q0081 0003.docx | DOCX document | |
| 36C10G25Q0081 0002.docx | DOCX document | |
| 36C10G25Q0081 0001.docx | DOCX document | |
| ATTACHMENT G - PAST PERFORMANCE QUESTIONAIRE - NX EQ Infusion Pumps Multitherapy Ambulatory.docx | DOCX document | |
| ATTACHMENT C - CONTRACT CLAUSES - NX EQ Infusion Pumps Multitherapy Ambulatory.docx | DOCX document | |
| ATTACHMENT E - REPORTING TOOL NX EQ Infusion Pumps Multitherapy Ambulatory.xlsx | XLSX spreadsheet | |
| ATTACHMENT A - PRICE COST SCHEDULE - NX EQ Infusion Pumps Multitherapy Ambulatory.xlsx | XLSX spreadsheet | |
| ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ Infusion Pumps Multitherapy Ambulatory.docx | DOCX document | |
| ATTACHMENT B - CONTRACT ADMINISTRATION -NX EQ Infusion Pumps Multitherapy Ambulatory.docx | DOCX document | |
| 36C10G25Q0081_1.docx | DOCX document |
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Text version
36C10G25Q0081
ATTACHMENT F: PAST PERFORMANCE REFERENCE
NX EQ INFUSION PUMPS MULTITHERAPY AMBULATORY
SOLICITATION: 36C10G25Q0081
☐ 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.
File details come from the government source that posted it. Updated .