ATTACHMENT F - PAST PERFORMANCE REFERENCE - NX EQ SCRUB DISPENSING SYSTEM.docx
DOCX document 18 KB Posted
- Solicitation number
- 36C10X26Q0125
About this file
This is a Past Performance Reference template for solicitation 36C10X26Q0125, a Request for Quote (RFQ) issued by the Department of Veterans Affairs Strategic Acquisition Center Frederick for the NX EQ Scrub Dispensing System. The template is designed to collect documentation of offeror past performance on up to three relevant contracts, with fields for capturing contract details, performance metrics, and lessons learned applicable to the current requirement.
The template requires offerors to provide specific information for each past performance reference, including the contracting organization, contract or task order number, contract type, awarded and final prices, delivery dates and performance periods, contracting officer and program manager contact information, NAICS codes, and CPARS/PPIRS completion status. For each reference, offerors must describe the work performed and its relevance to the solicitation requirements, document any performance issues or problems that occurred, explain corrective actions taken, and detail expected or realized results from those corrective actions. The form indicates "No record of relevant or recent past performance" at the top and provides blank fields for all three references, indicating this is a template awaiting completion by prospective vendors responding to the scrub dispensing system solicitation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C10X26Q0125 0001 - Amendment - Scrub Dispensing.docx | DOCX document | |
| ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ SCRUB DISPENSING SYSTEM.docx | DOCX document | |
| ATTACHMENT A - PRICE COST SCHEDULE - NX EQ SCRUB DISPENSING SYSTEM.xlsx | XLSX spreadsheet | |
| ATTACHMENT G - PAST PERFORMANCE QUESTIONNAIRE - NX EQ SCRUB DISPENSING SYSTEM.docx | DOCX document | |
| ATTACHMENT E - REPORTING TOOL - NX EQ SCRUB DISPENSING SYSTEM.xlsx | XLSX spreadsheet | |
| ATTACHMENT C - CONTRACT CLAUSES - NX EQ SCRUB DISPENSING SYSTEM.docx | DOCX document | |
| ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ SCRUB DISPENSING SYSTEM.docx | DOCX document | |
| 36C10X26Q0125.docx | DOCX document |
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Text version
ATTACHMENT F: PAST PERFORMANCE REFERENCE
NX EQ SCRUB DISPENSING SYSTEM
SOLICITATION: 36C10X26Q0125
☐ 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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