ATTACHMENT F - PAST PERFORMANCE REFERENCE - NX EQ PILL COUNTERS.docx
DOCX document 18 KB Posted
- Attached to
- 6515--NX EQ Pill Counters
- Solicitation number
- 36C10X26Q0096
About this file
This is a past performance reference template document for solicitation 36C10X26Q0096, which is a requirements contract for NX EQ Pill Counters for the Department of Veterans Affairs. The template is designed to collect past performance information from offerors and includes three reference sections, each requiring documentation of relevant prior contract experience.
Each past performance reference section requests comprehensive details including the company that performed the work, its relationship to the offeror (prime or subcontractor), the contracting organization, contract or task order number, contract type, awarded price and final cost, delivery dates and performance periods, contracting officer and program manager contact information, and NAICS code. Offerors must provide a concise explanation of work performed and its relevance to the pill counter solicitation requirements, along with a description of any performance issues, corrective actions taken, and results achieved. The template also requires offerors to address any issues documented in CPARS/PPIRS reports associated with the references provided. The document is a blank template with no record of relevant or recent past performance filled in, indicating it is ready for completion by prospective offerors responding to the VA's pill counter procurement.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C10X26Q0096 0001 - Amendment - Pill Counters.docx | DOCX document | |
| ATTACHMENT E - REPORTING TOOL - NX EQ PILL COUNTERS.xlsx | XLSX spreadsheet | |
| ATTACHMENT C - CONTRACT CLAUSES - NX EQ PILL COUNTERS.docx | DOCX document | |
| ATTACHMENT G - PAST PERFORMANCE QUESTIONNAIRE - NX EQ PILL COUNTERS.docx | DOCX document | |
| ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ PILL COUNTERS.docx | DOCX document | |
| ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ PILL COUNTERS.docx | DOCX document | |
| ATTACHMENT A - PRICE COST SCHEDULE - NX EQ PILL COUNTERS.xlsx | XLSX spreadsheet | |
| 36C10X26Q0096.docx | DOCX document |
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Text version
ATTACHMENT F: PAST PERFORMANCE REFERENCE
NX EQ PILL COUNTERS
SOLICITATION: 36C10X26Q0096
☐ 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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