ATTACHMENT G PAST PERFORMANCE REFERENCE NX EQ Electrosurgical Units Argon Enhanced Coagulation.docx
DOCX document 26 KB Posted
- Solicitation number
- 36C10X26Q0059
About this file
This is a Past Performance Reference template for solicitation 36C10X26Q0059 issued by the Department of Veterans Affairs for NX EQ Electrosurgical Units with Argon-Enhanced Coagulation. The document serves as a template that offerors must complete to submit their past performance information to support their proposals. The template notes that there is "no record of relevant or recent past performance" and requires submission to Daleta.Coles@va.gov by April 15, 2026 at 11:59pm EDT.
The template provides three Past Performance Reference sections, each requiring offerors to identify the contracting organization, the company that performed the work, contract/task order number, contract type, total awarded price, final price, delivery date/period of performance, contracting officer and program manager contact information, NAICS code, and CPARS/PPIRS completion status. For each reference, offerors must provide a concise explanation of work performed and its relevance to the solicitation requirements, and describe any performance issues, corrective actions taken, and results achieved. The template indicates that any performance issues documented in CPARS/PPIRS reports must be addressed in the submission.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT G: PAST PERFORMANCE REFERENCE
NX EQ Electrosurgical Units, Argon-Enhanced Coagulation
SOLICITATION: 36C10X26Q0059
☐ No record of relevant or recent past performance.
Please E-mail to Daleta.Coles@va.gov by, April 15, 2026 at 11:59pm EDT.
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.
File details come from the government source that posted it. Updated .