ATTACHMENT F - PAST PERFORMANCE REFERENCE - NX EQ RAPID COOK OVEN.docx
DOCX document 25 KB Posted
- Attached to
- NX EQ Rapid Cook Oven
- Solicitation number
- 36C10X26Q0181
About this file
This is a Past Performance Reference template for the NX EQ Rapid Cook Oven solicitation (36C10X26Q0181) issued by the Department of Veterans Affairs Strategic Acquisition Center Frederick. The document is a blank form designed to collect past performance information from offerors responding to this acquisition opportunity.
The template provides space for three past performance references, with each reference requiring detailed information about relevant prior work. For each reference, offerors must identify the company that performed the work, specify whether they were the prime contractor or subcontractor, provide the contracting organization name, contract/task order number, contract type, awarded price, final or projected final cost, delivery dates and period of performance, and contracting officer and program manager contact information. Additionally, offerors must include the relevant NAICS code and indicate whether a CPARS/PPIRS report was completed. Each reference requires a description of the requirement and explanation of work performed that directly relates to the solicitation's requirements, along with documentation of any performance issues encountered, corrective actions taken, and results achieved. This form enables the government to evaluate contractor capability and past performance for delivering Rapid Cook Ovens—equipment utilizing non-traditional heat transfer technologies such as microwave, quartz halogen, or high-velocity impingement convection—to VA medical centers nationwide under a 12-month base period with four 12-month option periods.
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ATTACHMENT F: PAST PERFORMANCE REFERENCE
NX EQ RAPID COOK OVEN
SOLICITATION: 36C10X26Q0181
☐ 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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