ATTACHMENT G - PAST PERFORMANCE REFERENCE - NX EQ Microwave Therapy Systems Tissue Ablation.pdf
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- Attached to
- NX EQ Microwave Therapy Systems Tissue Ablation
- Solicitation number
- 36C10G25R0040
About this file
Attachment G is a past performance reference form for a Veterans Health Administration (VHA) solicitation (36C10G25R0040) for Microwave Therapy Systems Tissue Ablation. The document is a template designed to capture detailed past performance information for potential offerors, including fields for contract details such as offeror name, contracting organization, contract type, total awarded price, performance period, and contact information for the contracting officer and program manager.
The solicitation seeks a national single Requirements contract for microwave therapy systems used in thermal ablation of soft tissue and solid organ regions. The systems will be used by VA medical centers and facilities, consisting of equipment like microwave generators, coaxial cables, temperature sensors, and interstitial needle-like applicators guided by imaging technologies. The contract period includes a 12-month base period with four additional 12-month option periods. Contractors must demonstrate the ability to meet all solicitation requirements for these medical devices used in percutaneous tissue ablation procedures.
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ATTACHMENT G: PAST PERFORMANCE REFERENCE
NX EQ Microwave Therapy Systems Tissue Ablation
SOLICITATION: 36C10G25R0040
☐ 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.
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