ATTACHMENT F - PAST PERFORMANCE REFERENCES - NX EQ EEG SYSTEMS.pdf
PDF 154 KB Posted
- Attached to
- 6515--NX EQ EEG Systems
- Solicitation number
- 36C10X26R0032
About this file
This document is a template for Past Performance References, which offerors must complete as part of their proposal submission to demonstrate relevant experience on federal contracts.
The template provides a structured format for offerors to document up to three past performance references. For each reference, offerors must identify the company that performed the work and specify the relationship to the offeror (offeror itself, proposed subcontractor, or other), along with the role (prime or subcontractor). Offerors must provide comprehensive contract details including the contracting organization name, contract/task order number, contract type, total awarded price/cost, final or projected final price/cost, and the period of performance including base and option periods. Contact information for both the Contracting Officer and Program Manager must be supplied, along with the applicable North American Industry Classification System (NAICS) code. Offerors must describe the work performed with specific relevance to the current solicitation's requirements and explain any performance issues or problems that occurred, corrective actions taken, and results achieved. The template also requires offerors to indicate whether a CPARS (Contractor Performance Assessment Reporting System) or PPIRS (Past Performance Information Retrieval System) report was completed for each reference, and any issues documented in such reports must be addressed in the submission.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ EEG SYSTEMS.docx | DOCX document | |
| ATTACHMENT C - CONTRACT CLAUSES - NX EQ EEG SYSTEMS.docx | DOCX document | |
| ATTACHMENT G - PAST PERFORMANCE QUESTIONAIRE - NX EQ EEG SYSTEMS.docx | DOCX document | |
| ATTACHMENT H - RFQ QUESTIONS - NX EQ EEG SYSTEMS.xlsx | XLSX spreadsheet | |
| ATTACHMENT A - PRICE COST SCHEDULE - NX EQ EEG SYSTEMS.xlsx | XLSX spreadsheet | |
| ATTACHMENT E - QUARTERLY SALES REPORT - NX EQ EEG SYSTEMS.xlsx | XLSX spreadsheet | |
| ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ EEG SYSTEMS.docx | DOCX document | |
| 36C10X26R0032.docx | DOCX document |
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Text version
ATTACHMENT F: PAST PERFORMANCE REFERENCES
No record of relevant or recent past performance Past Performance Reference # 1
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR: OFFEROR PROPOSED SUBCONTRACTOR
WORK PERFORMED AS THE: 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: YES NO 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 PROPOSED SUBCONTRACTOR
WORK PERFORMED AS THE: 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: YES NO Description of the Requirement: Provide a concise explanation of the work performed, specifically related
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
Past Performance Reference # 3
OFFEROR NAME:
COMPANY who performed this work:
Relationship to OFFEROR: OFFEROR PROPOSED SUBCONTRACTOR
WORK PERFORMED AS THE: 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: YES NO Description of the Requirement: Provide a concise explanation of the work performed, specifically related
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
| Past Performance Reference 1: |
| OFFEROR NAME: |
| COMPANY who performed this work: |
| OFFEROR: Off |
| PROPOSED SUBCONTRACTOR: Off |
| PRIME: Off |
| SUBCONTRACTOR: Off |
| PRIME SUBCONTRACTORName of Contracting Organization: |
| PRIME SUBCONTRACTORContract Task Order Number for subcontracts provide the prime contract number and the subcontract number: |
| PRIME SUBCONTRACTORContract Type: |
| PRIME SUBCONTRACTORTotal Awarded PriceCost: |
| PRIME SUBCONTRACTORFinal or Projected Final Total PriceCost: |
| PRIME SUBCONTRACTORDelivery datePeriod of performance including base and options if applicable: |
| PRIME SUBCONTRACTORContracting Officers Name Email and Telephone Number: |
| PRIME SUBCONTRACTORProgram Managers Name Email and Telephone Number: |
| PRIME SUBCONTRACTORNorth American Industry Classification System NAICS Code: |
| CPARSPPIRS Completed: |
| undefined: |
| NO: |
| Description of the Requirement Provide a concise explanation of the work performed specifically related: |
| Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations 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 CPARSPPIRS report for this reference are to be addressed: |
| OFFEROR NAME_2: |
| COMPANY who performed this work_2: |
| OFFEROR_2: |
| PROPOSED SUBCONTRACTOR_2: |
| undefined_2: |
| PRIME_2: |
| SUBCONTRACTOR_2: |
| Name of Contracting Organization: |
| Contract Task Order Number for subcontracts provide the prime contract number and the subcontract number: |
| Contract Type: |
| Total Awarded PriceCost: |
| Final or Projected Final Total PriceCost: |
| Delivery datePeriod of performance including base and options if applicable: |
| Contracting Officers Name Email and Telephone Number: |
| Program Managers Name Email and Telephone Number: |
| North American Industry Classification System NAICS Code: |
| CPARSPPIRS Completed_2: |
| YES: |
| NO_2: |
| Description of the Requirement Provide a concise explanation of the work performed specifically related_2: |
| Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements_2: |
| 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 CPARSPPIRS report for this reference are to be addressed_2: |
| OFFEROR NAME_3: |
| COMPANY who performed this work_3: |
| OFFEROR_3: |
| PROPOSED SUBCONTRACTOR_3: |
| undefined_3: |
| PRIME_3: |
| SUBCONTRACTOR_3: |
| Name of Contracting Organization_2: |
| Contract Task Order Number for subcontracts provide the prime contract number and the subcontract number_2: |
| Contract Type_2: |
| Total Awarded PriceCost_2: |
| Final or Projected Final Total PriceCost_2: |
| Delivery datePeriod of performance including base and options if applicable_2: |
| Contracting Officers Name Email and Telephone Number_2: |
| Program Managers Name Email and Telephone Number_2: |
| North American Industry Classification System NAICS Code_2: |
| CPARSPPIRS Completed_3: |
| YES_2: |
| NO_3: |
| Description of the Requirement Provide a concise explanation of the work performed specifically related_3: |
| Description of the Requirement Provide a concise explanation of the work performed specifically related to how it is relevant to this solicitations requirements_3: |
| 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 CPARSPPIRS report for this reference are to be addressed_3: |
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